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KEITH A STAPLE
NPI 1073955035
Counselor in Fort Myers, FL

Active since July 19, 2013
3763 EVANS AVE, FORT MYERS, FL 33901(239) 931-9812 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith A Staple NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH A STAPLE (NPI 1073955035) is an individual counselor in Fort Myers, Florida and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1073955035
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKEITH A STAPLE
Location Address3763 EVANS AVEFort Myers, FL 33901-9302
Mailing Address3763 Evans AveFort Myers, FL 33901 · (239) 931-9812
Phone(239) 931-9812
Sole ProprietorNo
Enumeration DateJuly 19, 2013
✔ NPI 1073955035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
3763 EVANS AVE, Fort Myers, FL 33901
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Other Identifiers 1

Medicaid591287693FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE LEWIS RN
Registered Nurse
3763 EVANS AVE
FORT MYERS, FL 33901
Lee County (239) 275-3222
MRS. CYNTHIA ANN SHANNON
Counselor
3763 EVANS AVE
FORT MYERS, FL 33901
Lee County (239) 333-1609
JASMINE JIJON
Counselor
3763 EVANS AVE
FORT MYERS, FL 33901
Lee County (239) 791-1586
DAVID J MCKAY
Counselor
3763 EVANS AVE
FORT MYERS, FL 33901
Lee County (239) 332-6937
SARAH SULLIVAN
Case Manager/Care Coordinator
3763 EVANS AVE
FORT MYERS, FL 33901
Lee County (239) 275-3222
TAMLA PEARSEY
Licensed Practical Nurse
3763 EVANS AVE
FORT MYERS, FL 33901
Lee County (239) 275-3222
KATHERINE CRUZ
Case Manager/Care Coordinator
3763 EVANS AVE
FORT MYERS, FL 33901
Lee County (239) 275-3222
DANIEL ROSEAU LPN
Licensed Practical Nurse
3763 EVANS AVE
FORT MYERS, FL 33901
Lee County (239) 275-3222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Staple's NPI number?

The NPI number for Keith Staple is 1073955035. It was assigned to this individual provider in the NPPES registry on July 19, 2013.

Where is Keith Staple located?

Keith Staple practices at 3763 Evans Ave, Fort Myers, FL 33901. The listed phone number is (239) 931-9812.

What is Keith Staple's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Keith Staple was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.