Individual provider Active NPI

Tyler Weber, LMHC

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1720730609
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23966 Issued in FL
Practice address
12811 Kenwood LN Ste 213
Fort Myers, FL 33907-5648
Phone
(239) 880-2074
NPI assigned
Jan 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH23966 FL Primary

Addresses

Primary practice location

12811 Kenwood LN Ste 213
Fort Myers, FL 33907-5648

Mailing address

5216 Billings St
Lehigh Acres, FL 33971-6482
Phone (954) 478-1627

Other practice location 1

2345 Stanford Ct Ste 601
Naples, FL 34112-4841
Phone (239) 307-4941

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

LicenseStateTypeSpecialty
MH23966FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1720730609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 BILLINGS ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716482",
            "telephone_number": "954-478-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 KENWOOD LN STE 213",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075648",
            "telephone_number": "239-880-2074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Stanford Ct Ste 601",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341124841",
            "country_code": "US",
            "telephone_number": "239-307-4941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-22",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23966",
            "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 1, 2024; 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.