Active NPI
Ileana Sisson Counseling & Consulting
- Mental Health Counselor
- Fort Myers, FL
National Provider Identifier
1174937411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2477
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2477 | FL | |
| Mental Health Counselor | 101YM0800X | 2477 | FL | Primary |
| Psychoanalyst | 102L00000X | 2477 | FL | |
| Adult Development & Aging Psychologist | 103TA0700X | 2477 | FL | |
| Exercise & Sports Psychologist | 103TE1100X | 2477 | FL | |
| Health Service Psychologist | 103TH0100X | 2477 | FL | |
| Group Psychotherapy Psychologist | 103TP2701X | 2477 | FL | |
| Marriage & Family Therapist | 106H00000X | 2477 | FL | |
| Nutritionist | 133N00000X | 2477 | FL | |
| Nutrition Education Nutritionist | 133NN1002X | 2477 | FL | |
| Community Health Worker | 172V00000X | 2477 | FL | |
| Health Educator | 174H00000X | 2477 | FL | |
| Naturopath | 175F00000X | 2477 | FL | |
| Homeopath | 175L00000X | 2477 | FL | |
| Public Health & General Preventive Medicine Physician | 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 DirectoryNPI 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.