MELISSA SUE ROSBOTTOM M.S.
NPI 1457499691
Marriage & Family Therapist in Fort Myers, FL

Active since February 01, 2007
17595 S TAMIAMI TRL, STE 200-3, FORT MYERS, FL 33908(239) 451-0087(239) 225-7774 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Melissa Sue Rosbottom M.s. NPPES

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

MELISSA SUE ROSBOTTOM M.S. (NPI 1457499691) is an individual marriage & family therapist in Fort Myers, Florida, licensed in Florida (MT 2034) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1457499691
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMELISSA SUE ROSBOTTOMCredential: M.S.
Location Address17595 S TAMIAMI TRL, STE 200-3Fort Myers, FL 33908-4570
Mailing Address662 93rd Ave NNaples, FL 34108-2439 · (239) 451-0087 · Fax (239) 225-7774
Fax(239) 225-7774
Sole ProprietorYes
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1457499691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in FL · MT 2034
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

17595 S TAMIAMI TRL, Fort Myers, FL 33908

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Melissa Sue Rosbottom M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2026.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Medical)
17595 S TAMIAMI TRL, SUITE #108
FORT MYERS, FL 33908
Family Medicine
17595 S TAMIAMI TRL, SUITE 227
FORT MYERS, FL 33908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457499691, enumerated as an "individual" on February 01, 2007.

The provider is located at 17595 S TAMIAMI TRL STE 200-3 FORT MYERS, FL 33908 and the phone number is (239) 451-0087.

Marriage & Family Therapist with taxonomy code 106H00000X.