Individual provider Active NPI

Marie Carmelle Boisbel, LMHC

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1285260083
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17113 Issued in FL
Practice address
10491 6 Mile Cypress Pkwy Ste 245
Fort Myers, FL 33966-6532
Phone
(941) 548-6240
NPI assigned
Mar 13, 2020
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 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 MH17113 FL Primary

Addresses

Primary practice location

10491 6 Mile Cypress Pkwy Ste 245
Fort Myers, FL 33966-6532

Mailing address

2189 Berkley Way
Lehigh Acres, FL 33973-6010
Phone (239) 738-0926

Other practice location 1

2189 Berkley Way
Lehigh Acres, FL 33973-6010
Phone (239) 738-0926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215002284 FL Practitioner - Mental Health Counselor 8628495488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10491 Ben C Pratt/6 Mile Cypress Pkwy
Suite 245
Fort Myers, FL 33966-6532
Phone (239) 202-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stillness Counseling and Consulting Services LLC Mental Health CurrentSince Dec 21, 2023 Accepting new patients
Chrysallis Wellness Center Inc Mental Health PastSince Jul 1, 2020 Accepting new patients

Locations

10491 Ben C Pratt/6 Mile Cypress Pkwy
Ste 245
Fort Myers, FL 33966
Phone (239) 202-0111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25013/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1285260083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 BERKLEY WAY",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339736010",
            "telephone_number": "239-738-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10491 6 MILE CYPRESS PKWY STE 245",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339666532",
            "telephone_number": "941-548-6240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2189 Berkley Way",
            "address_purpose": "LOCATION",
            "city": "Lehigh Acres",
            "state": "FL",
            "postal_code": "339736010",
            "country_code": "US",
            "telephone_number": "239-738-0926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOISBEL",
        "first_name": "MARIE",
        "middle_name": "CARMELLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.