Active NPI
Faezeh Andrews, PHD LMHC,CAP
- Mental Health Counselor
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH-9047
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 693191096 | Medicaid | FL |
Other names 1
- Dr. Faezeh Andrews
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH-9047 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saluscare, Inc. | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Myers, FL
- NPI 1972557197
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.