Ellie Mental Health of Estero

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELLIE MENTAL HEALTH OF ESTERO

Practice address

22904 Lyden Dr Ste 104
Estero, FL 33928-7048

Phone

(908) 432-4636

NPI assigned

Aug 12, 2022

Reactivated

Aug 24, 2023

Organization subpart

No

Name

Marcus Silva

Title

Managing Member

Phone

(908) 432-4636

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bianca Fontanez, MA LMHC

  • Mental Health Counselor
  • Estero, FL
  • NPI 1457195489

  FL, Mental Health

  Medicare reassignment Care Compare group NPD
• Margeaux Philpot, RMHCI

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1124721576

  FL, Mental Health

  Medicare reassignment Care Compare group NPD
• Sandra Brose Suzuki, LCPC

  • Mental Health Counselor
  • Estero, FL
  • NPI 1750588778

  FL, Mental Health

  Medicare reassignment Care Compare group NPD
• Alexis Sylvia, MA, LMHC

  • Mental Health Counselor
  • Estero, FL
  • NPI 1316795289

  FL, Mental Health

  Medicare reassignment Care Compare group NPD
• Tatyana B Peck, PA-C

  • Physician Assistant
  • Bothell, WA
  • NPI 1669611380

  FL

  Medicare reassignment Care Compare group NPD
• Karen Fay Tuttle-Trujillo, MSW, LICSW

  • Clinical Social Worker
  • Fort Belvoir, VA
  • NPI 1841659794

  FL

  Medicare reassignment Care Compare group NPD
• Andrea Beatriz De Aguayo, LMHC, PSYD

  • Psychologist
  • Coral Gables, FL
  • NPI 1730601048

  FL, Mental Health

  Medicare reassignment NPD
• Alanna Jessica Levine

  • Mental Health Counselor
  • Estero, FL
  • NPI 1538019641

  FL, Mental Health

  Medicare reassignment NPD
• Bradley Adair Vattilana, MS, LMHC

  • Mental Health Counselor
  • Estero, FL
  • NPI 1184276511

  FL, Mental Health

  Medicare reassignment NPD
• Laura M O'Connor, LCSW

  • Clinical Social Worker
  • Hoffman Estates, IL
  • NPI 1477803153

  FL

  Medicare reassignment NPD
• Ava Hades Realy, LCSW

  • Clinical Social Worker
  • Pearisburg, VA
  • NPI 1821587676

  FL

  Medicare reassignment NPD
• Letecia Gilchrist, LCSW

  • Clinical Social Worker
  • Arcadia, FL
  • NPI 1255286829

  FL

  Medicare reassignment

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2026.

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1851029243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22904 LYDEN DR UNIT 104",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339287048",
            "telephone_number": "908-432-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22904 LYDEN DR STE 104",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339287048",
            "telephone_number": "908-432-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE MENTAL HEALTH OF ESTERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "deactivation_date": "2023-08-05",
        "reactivation_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-432-4636"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy G Edgecomb, PHARMD
• Edison Eye Care, PLLC
• Thomas G Eiden, RPH
• Chris Ela
• Elizabeth Murphy LLC
• Ovieda Perra Elliott, MA
• Sarah Escamilla, RN, IBCLC
• Estero Bay Dental, PLLC
• Estero Dermatology & Skin Surgery Center, LLC
• Estero Eyecare

• All providers in Estero, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.