Amy Rachele Grose, BSP, MSCMHC, RMHCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH25044 Issued in FL

Practice address

1361 Royal Palm Square Blvd Ste 7
Fort Myers, FL 33919-1001

Phone

(239) 209-5046

NPI assigned

Nov 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Living Well Counseling and Consulting LLC

  • Mental Health Counselor
  • Cape Coral, FL
  • NPI 1891537668
  NPD

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1780459081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12279 GASPARILLA AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339552208",
            "telephone_number": "941-204-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 ROYAL PALM SQUARE BLVD STE 7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191001",
            "telephone_number": "239-209-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSE",
        "first_name": "AMY",
        "middle_name": "RACHELE",
        "credential": "BSP, MSCMHC, RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Grinshteyn, M.D.
• Glenn Edward Groat, M.D.
• Dina Esther Grodson, APRN
• Robert M. Grohowski, M.D.
• Camellia Jane Groover, PHARMD
• Jodi M Grosflam, M.D.
• Andrew Michael Gross, M.D.
• Georgia Kelly Gross, BS, RBT
• Jeremi Eleanor Grosser, MS, CCC-SLP
• Jessica Groton, D.O.

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, 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 Nov 17, 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.

Verify at the official NPI Registry.