Active NPI
Vicky Daly
- Mental Health Counselor
- Fort Myers, FL
National Provider Identifier
1679949796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW130548
- Practice address
- 3049 Cleveland Ave
Suite 269
Fort Myers, FL 33901-7041 - Phone
- (239) 699-2573
- NPI assigned
- Aug 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW130548 | PA | Primary |
Addresses
Primary practice location
3049 Cleveland Ave
Suite 269
Fort Myers, FL 33901-7041
Mailing address
827 Bal Harbor Blvd
Punta Gorda, FL 33950-6509
Phone (484) 802-6220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW130548 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1679949796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 BAL HARBOR BLVD",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339506509",
"telephone_number": "484-802-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3049 CLEVELAND AVE",
"address_2": "SUITE 269",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339017041",
"telephone_number": "239-699-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "VICKY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "SW130548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.