Stefanie Sears

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21909 Issued in FL

Practice address

12811 Kenwood LN Ste 202
Fort Myers, FL 33907-5646

Phone

(239) 537-9646

Fax

(239) 236-0066

NPI assigned

Mar 4, 2020

Last updated

Apr 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anxiety & Ocd Behavioral Health Center

  • Clinical Psychologist
  • Munster, IN
  • NPI 1144640582
  NPD

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1265067771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12811 KENWOOD LN STE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075646",
            "telephone_number": "239-537-9646",
            "fax_number": "239-236-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 KENWOOD LN STE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075646",
            "telephone_number": "239-537-9646",
            "fax_number": "239-236-0066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Ridge Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463211727",
            "country_code": "US",
            "telephone_number": "219-228-7630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEARS",
        "first_name": "STEFANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21909",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICEENSE LMHC",
            "identifier": "MH21909",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Elizabeth Scudder, ARNP
• Bonnie Daisy Sealey, ARNP
• Karen M Seals, CRNA
• Emily Kathleen Seaman, M.S., CCC-SLP
• Trinity Seaman, PA-C
• Linda Sebastian, ARNP
• Molly Secrest, PA-C
• Sedano Assets Management, LLC Dba Medicab (Medicab)
• Paula Andrea Sedas, PT
• Richard W Seeger, MD

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, 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 Apr 19, 2023; 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.