Individual provider Active NPI

William Direlle Enslen, LMHC

  • Counselor
  • Fort Myers, FL
National Provider Identifier
1821269283
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH 0003497 Issued in FL
Practice address
9470 Healthpark Cir
Fort Myers, FL 33908-3600
Phone
(239) 985-7791
Fax
(239) 482-3380
NPI assigned
Mar 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH 0003497 FL Primary
Mental Health Counselor 101YM0800X MH 0003497 FL

Addresses

Primary practice location

9470 Healthpark Cir
Fort Myers, FL 33908-3600

Mailing address

9470 Healthpark Cir
Fort Myers, FL 33908-3600
Phone (239) 985-7791

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
MH 0003497FLMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1821269283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 HEALTHPARK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083600",
            "telephone_number": "239-985-7791",
            "fax_number": "239-482-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 HEALTHPARK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083600",
            "telephone_number": "239-985-7791",
            "fax_number": "239-482-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSLEN",
        "first_name": "WILLIAM",
        "middle_name": "DIRELLE",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH 0003497",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 0003497",
            "primary": false
        }
    ],
    "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 Mar 13, 2008; 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.