Individual provider Active NPI

Vanessa Anne Garza

  • Marriage & Family Therapist
  • Fort Myers, FL
National Provider Identifier
1508603838
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT5037 Issued in FL
Practice address
3763 Evans Ave
Fort Myers, FL 33901-9302
Phone
(239) 275-3222
Fax
(239) 332-0287
NPI assigned
Jul 12, 2024
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT5037 FL Primary

Addresses

Primary practice location

3763 Evans Ave
Fort Myers, FL 33901-9302

Mailing address

4957 Eastwood Greens St Unit 107
Fort Myers, FL 33905-3743
Phone (239) 219-3744

Other practice location 1

8981 Daniels Center Dr Ste 209
Fort Myers, FL 33912-0308
Phone (239) 329-9264

Other names 1

  • Vanessa Anne Garza Professional name

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
I20241111001081 FL Practitioner - Marriage and Family Therapist 0042744203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revive Family Counseling, LLCGroup PAC ID 7214428358, 2 clinicians

Practice addresses (Care Compare)

8981 Daniels Ctr Dr
Suite 209
Fort Myers, FL 33912-0308
Phone (239) 329-9264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Family Counseling, L.L.C. Marriage & Family Therapist CurrentSince Aug 16, 2025 Accepting new patients
Saluscare, Inc. CurrentSince Oct 7, 2024 Accepting new patients

Locations

2789 Ortiz Ave
Fort Myers, FL 33905
Phone (229) 275-3222

3763 Evans Ave
Fort Myers, FL 33901
Phone (239) 332-6937

8981 Daniels Center Dr
Ste 209
Fort Myers, FL 33912
Phone (239) 329-9264

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": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1508603838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 EASTWOOD GREENS ST UNIT 107",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053743",
            "telephone_number": "239-219-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3763 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019302",
            "telephone_number": "239-275-3222",
            "fax_number": "239-332-0287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8981 Daniels Center Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339120308",
            "country_code": "US",
            "telephone_number": "239-329-9264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "VANESSA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT5037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "GARZA",
            "middle_name": "ANNE",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.