Individual provider Active NPI

Elizabeth Muniz, LMHC, RPT-S

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1194015115
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11994 Issued in FL
Practice address
2734 Oak Ridge CT Ste 404
Fort Myers, FL 33901-9369
Phone
(239) 963-4367
Fax
(239) 963-4367
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH11994 FL Primary

Addresses

Primary practice location

2734 Oak Ridge CT Ste 404
Fort Myers, FL 33901-9369

Mailing address

2734 Oak Ridge CT Ste 404
Fort Myers, FL 33901-9369
Phone (239) 963-4367

Other practice location 1

2590 Northbrooke Plaza Dr Ste 307
Naples, FL 34119-8102
Phone (239) 963-4367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH11994FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Therapy, LLC Mental Health Current Accepting new patients

Locations

2734 Oak Ridge Ct
Ste 404
Fort Myers, FL 33901
Phone (239) 910-0412

2590 Northbrooke Plaza Dr
Ste 307
Naples, FL 34119
Phone (239) 963-4367

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1194015115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 OAK RIDGE CT STE 404",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019369",
            "telephone_number": "239-963-4367",
            "fax_number": "239-963-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 OAK RIDGE CT STE 404",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019369",
            "telephone_number": "239-963-4367",
            "fax_number": "239-963-4367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2590 Northbrooke Plaza Dr Ste 307",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341198102",
            "country_code": "US",
            "telephone_number": "239-963-4367",
            "fax_number": "239-963-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "ELIZABETH",
        "credential": "LMHC, RPT-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11994",
            "primary": true
        }
    ],
    "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 Mar 16, 2024; 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.