MEDICARE: COUNSELING, LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1700902582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNSELING, LTD.

Provider Business Mailing Address
First Line	:	1902 NW 21ST AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-5984
Country	:	US
Telephone Number	:	239-359-7522
Fax Number	:	614-343-1538

Provider Business Practice Location Address
First Line	:	1902 NW 21ST AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-5984
Country	:	US
Telephone Number	:	239-359-7522
Fax Number	:	614-343-1538

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	CHERYL MARYE ALLEN
Credential	:	MS, LPCC-S
Telephone Number	:	614-870-6670

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	04/05/2025

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