Active NPI
Freedom Mental Health Services
- Clinical Social Worker
- Fort Myers, FL
National Provider Identifier
1770282956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- FREEDOM MENTAL HEALTH SERVICES
- Practice address
- 13545 American Colony Blvd
Fort Myers, FL 33912-5601 - Phone
- (941) 621-6006
- NPI assigned
- Feb 27, 2023
- 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
- Regina A Rhoades, MSW, LCSW
- Title
- Owner
- Phone
- (941) 621-6006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
13545 American Colony Blvd
Fort Myers, FL 33912-5601
Mailing address
13545 American Colony Blvd
Fort Myers, FL 33912-5601
Phone (941) 621-6006
National Provider Directory
National Provider DirectoryLocations
13545 American Colony Blvd
Fort Myers, FL 33912
Phone (941) 621-6006
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- North Port, FL
- NPI 1447893508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1770282956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13545 AMERICAN COLONY BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339125601",
"telephone_number": "941-621-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13545 AMERICAN COLONY BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339125601",
"telephone_number": "941-621-6006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM MENTAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "RHOADES",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-621-6006",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.