SAMANTHA LOWER DETTMAR (NPI# 1639794910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639794910 |
| Entity Type | Individual |
| Full Name | SAMANTHA LOWER DETTMAR |
| Credential | MS |
| Practice Address |
3049 Cleveland Ave Ste 290 Fort Myers FL 33901-7054 |
| Practice Telephone | 2396894745 |
| Practice Fax Number | 2396895179 |
| Mailing Telephone | 2396894745 |
| Mailing Fax Number | 2396895179 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3049 CLEVELAND AVE STE 290 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-7054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073871208 | Healing Educational Alternatives for Deserving Students, LLC | Community/Behavioral Health | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2012-04-25 |
| 1609400225 | Jessica Forero | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2020-02-24 |
| 1215569439 | Nancy Acevedo | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2020-02-05 |
| 1295365682 | Danesha Simmons | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2020-01-24 |
| 1639732019 | Lindsay Scoffil | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2019-04-21 |
| 1104380989 | Jean Claude Sime | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2019-01-25 |
| 1265905616 | Megan H Venuto | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2019-01-08 |
| 1194203174 | Nadine Simpson-arscott | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2018-08-01 |
| 1407344849 | Angela Marie Noe | Counselor | 3049 Cleveland Ave Ste 290, Fort Myers, FL 33901-7054 | 2018-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293324 | Stephanie Rimes | Counselor | 12811 Kenwood Ln # 202213, Fort Myers, FL 33907-5667 | 2020-07-29 |
| 1093204927 | Lisa Malt | Counselor | 1614 Colonial Blvd, Fort Myers, FL 33907-1135 | 2018-05-07 |
| 1881196541 | Kara Seanor | Counselor | 12575 Stone Tower Loop, Fort Myers, FL 33913 | 2018-03-08 |
| 1386189025 | Deborah Susan Marino | Counselor | 1830 Brantley Rd, Building C Unit 8, Fort Myers, FL 33907-3938 | 2017-01-04 |
| 1679026223 | Sabrina Teresa Mendizabal | Counselor | 12535 New Brittany Blvd Ste 28, Fort Myers, FL 33907-3625 | 2016-08-01 |
| 1962803387 | Irene Veronica Brown | Counselor | 2740 Oak Ridge Ct Ste 301, Fort Myers, FL 33901-9371 | 2014-09-05 |
| 1902232465 | Patricia Lopez | Counselor | 10140 Deer Run Frm Rd, Fort Myers, FL 33966-1045 | 2013-09-16 |
| 1932541901 | Carrie Lynn Johnson | Counselor | 6315 Presidential Ct Ste 120, Fort Myers, FL 33919-3568 | 2013-07-19 |
| 1932442837 | Nicolas Alonzo Bolanos | Counselor | 4150 Ford Street Extension, Fort Myers, FL 33916 | 2013-03-29 |
| 1396000915 | Denise Marie Millheim | Counselor | 2789 Ortiz Ave # G-12, Fort Myers, FL 33905-7806 | 2012-07-10 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
Please comment or provide details below to improve the information on SAMANTHA LOWER DETTMAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.