Individual provider Active NPI

Carole D Wheeler-Antle, M.S., LMHC

  • Mental Health Counselor
  • Cape Coral, FL
National Provider Identifier
1285778977
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5287 Issued in FL
Practice address
923 Del Prado Blvd Ste 202
Cape Coral, FL 33990-3628
Phone
(239) 772-5091
Fax
(239) 772-8921
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MH5287 FL Primary

Addresses

Primary practice location

923 Del Prado Blvd Ste 202
Cape Coral, FL 33990-3628

Mailing address

1936 Beach Pkwy
211
Cape Coral, FL 33904-5487
Phone (239) 549-5783

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH5287FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285778977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 BEACH PKWY",
            "address_2": "211",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045487",
            "telephone_number": "239-549-5783",
            "fax_number": "239-549-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 DEL PRADO BLVD STE 202",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903628",
            "telephone_number": "239-772-5091",
            "fax_number": "239-772-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER-ANTLE",
        "first_name": "CAROLE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "M.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.