Stacey Heidler

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8191 College Pkwy Ste 207
Fort Myers, FL 33919-5110

Phone

(239) 446-7620

NPI assigned

Jul 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Stacey Heidler LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
  • NPI 1205622388
  NPD Authorized official

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1497010052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 NE 21ST AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339097334",
            "telephone_number": "239-446-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 COLLEGE PKWY STE 207",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195110",
            "telephone_number": "239-446-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDLER",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LISCENSE",
            "identifier": "H346-792-82-942-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samira Ahmed Heeren, DDS
• Eileen M Hegarty, BCABA
• Shailaja Hegde, MD
• Liwen Heh, DOM
• Brian Hehr
• Renee Jeffreys Heil, PHD
• Michael Kenneth Heiland, MD
• Jenna Marie Hein, CF-SLP
• Patricia Ann Heinrich
• Robert Walter Heiser, 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 Jun 19, 2026; 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.