Organization Active NPI

Nextep Counseling and Clinical Services, LLC.

  • Community/Behavioral Health Agency
  • Fort Myers, FL
National Provider Identifier
1891167771
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2036AD6563-01 Issued in FL
Legal business name
NEXTEP COUNSELING AND CLINICAL SERVICES, LLC.
Practice address
6314 Corporate CT Ste 110
Fort Myers, FL 33919-3516
Phone
(561) 672-8345
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Keli Kornmiller
Title
Senior Credentialing Specialist
Phone
(561) 672-8345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2036AD6563-01 FL Primary

Addresses

Primary practice location

6314 Corporate CT Ste 110
Fort Myers, FL 33919-3516

Mailing address

6314 Corporate CT Ste 110
Fort Myers, FL 33919-3516
Phone (561) 672-8345

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1891167771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 CORPORATE CT STE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193516",
            "telephone_number": "561-672-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 CORPORATE CT STE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193516",
            "telephone_number": "561-672-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTEP COUNSELING AND CLINICAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "KORNMILLER",
        "authorized_official_first_name": "KELI",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "561-672-8345"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "2036AD6563-01",
            "primary": true
        }
    ],
    "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 Oct 30, 2015; 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.