Edita Hall

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MT2727 Issued in FL

Practice address

8981 Daniels Center Dr Ste 209
Fort Myers, FL 33912-0308

Phone

(239) 329-9264

NPI assigned

Jun 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Revive Family Counseling, L.L.C.

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1881358455
  NPD Authorized official

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1861985947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13852 ROSEWATER CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339130057",
            "telephone_number": "239-440-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8981 DANIELS CENTER DR STE 209",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120308",
            "telephone_number": "239-329-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "EDITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT2727",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Elton Hale, LCSW
• Richard W Haley, M.A.
• Robert C Halgas II, PT, DPT
• Carolyn A. Hall, D.C.
• David Gould Hall, LMHC
• Frederick Hall, PA
• Jaime Marie Realsen Hall, MD
• Janet Kay Hall, PHARMACIST
• Jonathan Hall, PHARMD
• Joshua A Hall, D.C.

• 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 Sep 19, 2025; 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.