Individual provider Active NPI

Jimmy Lee Fleming II, LMHC

  • Mental Health Counselor
  • Naples, FL
National Provider Identifier
1801583281
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25219 Issued in FL
Practice address
1575 Pine Ridge Rd Ste 16
Naples, FL 34109-2110
Phone
(239) 734-3481
Fax
(239) 236-7982
NPI assigned
Apr 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 MH25219 FL Primary

Addresses

Primary practice location

1575 Pine Ridge Rd Ste 16
Naples, FL 34109-2110

Mailing address

1575 Pine Ridge Rd Ste 16
Naples, FL 34109-2110
Phone (239) 734-3481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403003507 FL Practitioner - Mental Health Counselor 7719401470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dura Medical LLCGroup PAC ID 1254672272, 21 clinicians

Practice addresses (Care Compare)

1575 Pine Ridge Rd
Suite 16
Naples, FL 34109-2110
Phone (239) 734-3481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH25219FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dura Medical LLC CurrentSince Jan 30, 2025 Accepting new patients
Chrysallis Wellness Center Inc Mental Health PastSince Apr 1, 2023 Accepting new patients
Chrysallis Wellness Center Mental Health PastSince Jun 11, 2023 Accepting new patients

Locations

1575 Pine Ridge Rd
Ste 16
Naples, FL 34109
Phone (239) 734-3481

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21560/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/24796/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1801583281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD STE 16",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092110",
            "telephone_number": "239-734-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD STE 16",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092110",
            "telephone_number": "239-734-3481",
            "fax_number": "239-236-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "JIMMY",
        "middle_name": "LEE",
        "name_suffix": "II",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.