Organization Active NPI

Ileana Sisson Counseling & Consulting

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1174937411
Registry record updated Jun 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2477 Issued in FL
Legal business name
ILEANA SISSON COUNSELING & CONSULTING
Practice address
1342 Colonial Blvd
Building F, Suite 41a
Fort Myers, FL 33907-1013
Phone
(239) 464-9022
NPI assigned
Jun 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2014

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

Authorized official

Name
Dr. Ileana Sisson, MS PHD
Title
Licensed Psychotherapist
Phone
(239) 464-9022

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 2477 FL
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 2477 FL Primary
PsychoanalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 102L00000X 2477 FL
Adult Development & Aging PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0700X 2477 FL
Exercise & Sports PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TE1100X 2477 FL
Health Service PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TH0100X 2477 FL
Group Psychotherapy PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TP2701X 2477 FL
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 2477 FL
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133N00000X 2477 FL
Nutrition Education NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133NN1002X 2477 FL
Community Health WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172V00000X 2477 FL
Health EducatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174H00000X 2477 FL
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X 2477 FL
HomeopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175L00000X 2477 FL
Public Health & General Preventive Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083P0901X 2477 FL

Addresses

Primary practice location

1342 Colonial Blvd
Building F, Suite 41a
Fort Myers, FL 33907-1013

Mailing address

5395 Anchorage Dr
Saint James City, FL 33956-3052
Phone (239) 283-6140

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402790400000",
    "number": "1174937411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 ANCHORAGE DR",
            "city": "SAINT JAMES CITY",
            "state": "FL",
            "postal_code": "339563052",
            "telephone_number": "239-283-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 COLONIAL BLVD",
            "address_2": "BUILDING F, SUITE 41A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071013",
            "telephone_number": "239-464-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILEANA SISSON COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-15",
        "last_updated": "2014-06-15",
        "status": "A",
        "authorized_official_last_name": "SISSON",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "LICENSED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "239-464-9022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "2477",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "2477",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "FL",
            "license": "2477",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "2477",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": "FL",
            "license": "2477",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "FL",
            "license": "2477",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "FL",
            "license": "2477",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "2477",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "2477",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "FL",
            "license": "2477",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "2477",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "FL",
            "license": "2477",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "FL",
            "license": "2477",
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homeopath",
            "state": "FL",
            "license": "2477",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "2477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2014; 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.