Active NPI
Kelleen M Linden PHD PA
- Mental Health Counselor
- Fort Myers, FL
National Provider Identifier
1346360401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH3014
- Legal business name
- KELLEEN M LINDEN PHD PA
- Practice address
- 1705 Colonial Blvd a-4
Fort Myers, FL 33907 - Phone
- (239) 454-3655
- Fax
- (239) 454-3655
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelleen M Linden, PHD
- Title
- President Director
- Phone
- (239) 454-3655
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH3014 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | MT1455 | FL |
Addresses
Primary practice location
1705 Colonial Blvd a-4
Fort Myers, FL 33907
Mailing address
1705 Colonial Blvd a-4
Fort Myers, FL 33907
Phone (239) 454-3655
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1346360401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 COLONIAL BLVD A-4",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33907",
"telephone_number": "239-454-3655",
"fax_number": "239-454-3655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 COLONIAL BLVD A-4",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33907",
"telephone_number": "239-454-3655",
"fax_number": "239-454-3655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLEEN M LINDEN PHD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LINDEN",
"authorized_official_first_name": "KELLEEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT DIRECTOR",
"authorized_official_telephone_number": "239-454-3655",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH3014",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT1455",
"primary": false
}
],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.