Organization Active NPI

Tender Heart Counseling LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1992654339
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TENDER HEART COUNSELING LLC
Practice address
1950 Courtney Dr Ste 207
Fort Myers, FL 33901-9017
Phone
(941) 564-5265
Fax
(239) 282-4185
NPI assigned
Jan 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Marc Theodor, PMHNPNPI 1750105995
Title
Owner
Phone
(941) 564-5265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1950 Courtney Dr Ste 207
Fort Myers, FL 33901-9017

Mailing address

1950 Courtney Dr Ste 207
Fort Myers, FL 33901-9017
Phone (941) 564-5265

National Provider Directory

National Provider Directory

Locations

1950 Courtney Dr
Ste 207
Fort Myers, FL 33901
Phone (941) 564-5265

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1992654339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 COURTNEY DR STE 207",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019017",
            "telephone_number": "941-564-5265",
            "fax_number": "239-282-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 COURTNEY DR STE 207",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019017",
            "telephone_number": "941-564-5265",
            "fax_number": "239-282-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER HEART COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "THEODOR",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-564-5265",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Jan 27, 2026; 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.