Petra P Wilkes, MFT, MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH25031 Issued in FL

Practice address

1404 Del Prado Blvd S Ste 135
Cape Coral, FL 33990-3782

Phone

(978) 310-1212

NPI assigned

Jan 24, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1225890387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 HANCOCK BRIDGE PKWY STE 112-116",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339037219",
            "telephone_number": "978-310-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 DEL PRADO BLVD S STE 135",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903782",
            "telephone_number": "978-310-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43496 Treadway Dr",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339825116",
            "country_code": "US",
            "telephone_number": "978-310-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKES",
        "first_name": "PETRA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "MFT, MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Wiedeman, RDN
• Stanley L Wiggins, M.D.
• Allison Wight, PA-C
• Shawanda Rene Wilder
• Scott E Wiley, M.D.
• Maria Carla Williams Miari
• Apache Williams
• Brandy Williams
• Erin Williams, MA,RMHCI
• Jasmine Williams

• Mental Health Counselor in Cape Coral, FL
• Providers in Cape Coral, 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 Jan 25, 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.