Individual provider Active NPI

Faezeh Andrews, PHD LMHC,CAP

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1902000201
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH-9047 Issued in FL
Practice address
3763 Evans Ave
Fort Myers, FL 33901-9302
Phone
(239) 275-3222
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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 MH-9047 FL Primary

Addresses

Primary practice location

3763 Evans Ave
Fort Myers, FL 33901-9302

Mailing address

3763 Evans Ave
Fort Myers, FL 33901-9302
Phone (239) 275-3222

Other practice location 1

4206 Delprado Blvd
Cape Coral, FL 33904
Phone (239) 895-4259

Other practice location 2

5245 Ramsey Way
Suite One
Fort Myers, FL 33907-2124
Phone (239) 895-4259

Other identifiers 1

IdentifierTypeStateIssuer
693191096MedicaidFL

Other names 1

  • Dr. Faezeh Andrews Professional name

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
I20240110002164 FL Practitioner - Mental Health Counselor 8426409806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saluscare, IncGroup PAC ID 8325014350, 9 clinicians

Practice addresses (Care Compare)

3763 Evans Ave
Fort Myers, FL 33901-9302
Phone (239) 275-3222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH-9047FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Saluscare, Inc. CurrentSince Dec 21, 2023 Accepting new patients

Locations

1105 Cultural Park Blvd S
Cape Coral, FL 33990
Phone (239) 333-2206

3763 Evans Ave
Fort Myers, FL 33901
Phone (239) 332-6937

2789 Ortiz Ave
Fort Myers, FL 33905
Phone (229) 275-3222

Organizations & group practices 1

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1902000201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3763 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019302",
            "telephone_number": "239-275-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3763 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019302",
            "telephone_number": "239-275-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4206 Delprado Blvd",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "33904",
            "country_code": "US",
            "telephone_number": "239-895-4259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5245 Ramsey Way",
            "address_2": "Suite One",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339072124",
            "country_code": "US",
            "telephone_number": "239-895-4259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "FAEZEH",
        "name_prefix": "Dr.",
        "credential": "PHD LMHC,CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH-9047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693191096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAEZEH",
            "last_name": "ANDREWS",
            "prefix": "DR.",
            "credential": "PHD LMHC MCAP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.