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MR. JASON P LICAUSI LMFT NPI 1841711538


NPI Information

NPI: 1841711538
Provider Name: MR. JASON P LICAUSI, LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3049 CLEVELAND AVE
FORT MYERS, FL
ZIP 33901
Phone: (239) 826-4870
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MR. Jason P Licausi, LMFT is a mental health counselor in Fort Myers, FL. MR. Jason P Licausi, LMFT NPI is 1841711538. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3049 CLEVELAND AVE
FORT MYERS, FL
ZIP 33901-041
Phone: (239) 826-4870

The enumeration date for this NPI number is 7/3/2017 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthIMT2296FLORIDANo
2101YM0800XCounselorMental HealthMT3395FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.