Sycamore Shade Counseling and Consultation LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SYCAMORE SHADE COUNSELING AND CONSULTATION LLC

Practice address

5290 Summerlin Commons Way Ste 1002
Fort Myers, FL 33907-2162

Phone

(321) 300-6171

NPI assigned

Oct 4, 2022

Organization subpart

No

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

Authorized official

Name

Ana Mari Allen, LMHCNPI 1528662798

Title

Mental Health Counselor

Phone

(321) 300-6171

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ana Allen, LMHC

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1528662798
  NPD Authorized official

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1104540038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 SUMMERLIN COMMONS WAY STE 1002",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072162",
            "telephone_number": "321-300-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 SUMMERLIN COMMONS WAY STE 1002",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072162",
            "telephone_number": "321-300-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE SHADE COUNSELING AND CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARI",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "321-300-6171",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna Swierkosz, MA, BCBA
• Christine Albino Swiersz, L.C.S.W.
• Bryan Christopher Swift I, DPM
• Stefanie Swift, LMHC
• Emilie Sy-Te, M.D.
• Naureen Syed, DPM
• Georgia May Sykes
• Tasha M Sylva, PA-C
• Rose B. Sylvestre, P.A.
• Qaysara Syne, PHARMD

• Adult Mental Health Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.