Joanna Oestmann, EDD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH4173 Issued in FL

Practice address

96188 Marsh Lakes Dr
Fernandina Beach, FL 32034-6877

Phone

(941) 224-1559

Fax

(904) 432-8692

NPI assigned

Sep 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Joanna Mogavero Clekis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1558796060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96188 MARSH LAKES DR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320346877",
            "telephone_number": "941-224-1559",
            "fax_number": "904-432-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96188 MARSH LAKES DR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320346877",
            "telephone_number": "941-224-1559",
            "fax_number": "904-432-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OESTMANN",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4173",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "LPC 893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "CLEKIS",
            "middle_name": "MOGAVERO",
            "prefix": "DR.",
            "credential": "EDD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary O'Donnell, LMHC
• Cheryl Smith O'Donoghue, FNP-BC
• Kirsten O'Neil, MD
• William O'Sullivan
• Susan Elizabeth Oconnor, ARNP
• Larry M Ogilvie, LMT
• Justin Oglesby, ATC, LAT
• Ryan David Ohl, D.C.
• Mark Robert Olbina, DDS
• Chason Garrett Oliver, DPT

• Mental Health Counselor in Fernandina Beach, FL
• Providers in Fernandina Beach, 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 Sep 4, 2013; 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.