SHANTELL PEPE (NPI# 1902413305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902413305 |
| Entity Type | Individual |
| Full Name | SHANTELL PEPE |
| Credential | LMHC |
| Practice Address |
4310 Metro Pkwy Ste 200 Fort Myers FL 33916-9462 |
| Mailing Address |
17568 Silverspur Dr Punta Gorda FL 33982-5068 |
| Practice Telephone | 2392232751 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH18215 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4310 METRO PKWY STE 200 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916-9462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1457853798 | Grant Community Residential Home | Community Health Worker | 2252 Wright Street (a), Fort Myers, FL 33916 | 2018-03-02 |
| 1811345887 | Alexis Walker | Specialist/Technologist | 1407 Gardenia Avenue, Fort Myers, FL 33916 | 2016-05-31 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 1629452347 | Ashley Ann Alberts | Nurse Practitioner | 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 | 2015-07-13 |
| 1932442837 | Nicolas Alonzo Bolanos | Counselor | 4150 Ford Street Extension, Fort Myers, FL 33916 | 2013-03-29 |
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1700181047 | Michele Lintz | Case Manager/Care Coordinator | 1280 Maravilla Lane, Ft Myers, FL 33916 | 2011-01-18 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1942494687 | Benjamin M. Lowe | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916 | 2007-09-05 |
| Find all providers in zip 33916 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879091 | Linda Ann Weaver | Counselor | 12811 Kenwood Ln Ste 202-213, Fort Myers, FL 33907-5667 | 2020-07-29 |
| 1710502166 | Cornerstone Consultants | Counselor | 1344 Bradford Rd, Fort Myers, FL 33901-8804 | 2020-06-11 |
| 1053935981 | Timothy D Solomon | Counselor | 12557 New Brittany Blvd Ste 31-2, Fort Myers, FL 33907-3651 | 2020-06-06 |
| 1487275418 | Hofmann Counseling and Consulting, LLC. | Counselor | 8925 Beacon Street, Fort Myers, FL 33907-3390 | 2020-04-30 |
| 1760002927 | Angela Maria Molina | Counselor | 11932 Fairway Lakes Dr, Fort Myers, FL 33913-8337 | 2020-04-17 |
| 1386272334 | Chrysallis Wellness Center Inc | Counselor | 11932 Faiway Lakes, Fort Myers, FL 33913 | 2020-03-27 |
| 1710512454 | Kelleen Marguerite Linden | Counselor | 12670 New Brittany Blvd Ste 204, Fort Myers, FL 33907-3650 | 2020-03-03 |
| 1194369355 | Mary Alice Robinson | Counselor | 4531 Deleon St Ste 206, Fort Myers, FL 33907-1280 | 2019-10-31 |
| 1942855580 | Susan Lee Bobrow | Counselor | 3049 Cleveland Ave Ste 295, Fort Myers, FL 33901-7054 | 2019-08-08 |
| 1124685029 | Sarah Elizabeth Scozzafava | Counselor | 4351 Skates Cir, Fort Myers, FL 33905-7333 | 2019-05-26 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33916 |
Please comment or provide details below to improve the information on SHANTELL PEPE.
| 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.