Active NPI
The Phoenix Counseling and Recovery Project LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Fort Myers, FL
National Provider Identifier
1639910003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- THE PHOENIX COUNSELING AND RECOVERY PROJECT LLC
- Practice address
- 1762 Fowler St
Fort Myers, FL 33901-3027 - Phone
- (239) 268-0000
- NPI assigned
- Jun 1, 2024
- Last updated
- Sep 17, 2026
- 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
- Amanda A Maike
- Title
- Ceo
- Phone
- (239) 286-0000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
1762 Fowler St
Fort Myers, FL 33901-3027
Mailing address
4121 SW 9TH Ave
Cape Coral, FL 33914-5714
Phone (239) 286-0000
Other names 1
- Phoenix Counseling and Recovery Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction (Substance Use Disorder) Counselor
- Fort Myers, FL
- NPI 1629770227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1639910003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4121 SW 9TH AVE",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339145714",
"telephone_number": "239-286-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1762 FOWLER ST",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339013027",
"telephone_number": "239-268-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PHOENIX COUNSELING AND RECOVERY PROJECT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-01",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "MAIKE",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "239-286-0000"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Phoenix Counseling and Recovery Services",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Phoenix Counseling and Recovery Services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fort Myers, FL
- The Medical Office of Dr. Cindy Zughbi, MD PA
- The Nextep Foundation, Inc.
- The Onyx Counseling Center, LLC
- The Pavilion at Healthpark LLC (Park Royal Hospital)
- The Pavilion at Healthpark, LLC (Park Royal Hospital)
- The Salvation Army
- The School District of Lee County
- The School District of Lee County
- The School District of Lee County
- The School District of Lee County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.