Scarlett Olivares, MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

11932 Fairway Lakes Dr Ste 1
Fort Myers, FL 33913-8337

Phone

(239) 237-2801

Fax

(239) 771-8327

NPI assigned

Mar 18, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chrysallis Wellness Center IncGroup PAC ID 8123443017, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24796/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chrysallis Wellness Center Inc

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1386272334
  Medicare reassignment Care Compare group NPD
• Chrysallis Wellness Center

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1326732603
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1073906871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11932 FAIRWAY LAKES DR STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138337",
            "telephone_number": "239-237-2801",
            "fax_number": "239-771-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11932 FAIRWAY LAKES DR STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138337",
            "telephone_number": "239-237-2801",
            "fax_number": "239-771-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "SCARLETT",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Olen, COTA/L
• Olga Freeman MD PA
• Richard Lee Olitsky, DDS
• John Oliva, MD
• Patricia Oliva
• Maria Piedade Da Pinheiro Oliveira-Silva, M.D.
• Maria F Oliveira, PA-C
• Meloney Oliveira, MD
• Jordan Oliver
• Katia Emilia Oliver

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.