Individual provider Active NPI

Elizabeth Anne McDowell, MA

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1346714920
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21339 Issued in FL
Practice address
2734 Oak Ridge CT
Fort Myers, FL 33901-9369
Phone
(239) 963-4367
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH21339 FL Primary
Professional Counselor 101YP2500X 8134125 WI

Addresses

Primary practice location

2734 Oak Ridge CT
Fort Myers, FL 33901-9369

Mailing address

2734 Oak Ridge CT Ste 404
Fort Myers, FL 33901-9369
Phone (239) 963-4387

Other practice location 1

4305 Old Green Bay Rd
MT Pleasant, WI 53403-9425
Phone (262) 448-6888

Other names 1

  • Elizabeth Anne Williams Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
MH21339FLMDMental Health Counselor
8134125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Counseling and Wellness LLC Mental Health Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1346714920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 OAK RIDGE CT STE 404",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019369",
            "telephone_number": "239-963-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 OAK RIDGE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019369",
            "telephone_number": "239-963-4367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4305 Old Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "WI",
            "postal_code": "534039425",
            "country_code": "US",
            "telephone_number": "262-448-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21339",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8134125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WILLIAMS",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 28, 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.