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KAITLYN BOESENBERG
NPI 1609652395
Counselor - Mental Health in Fort Myers, FL

Active since September 07, 2023
17595 S TAMIAMI TRL STE 265C, FORT MYERS, FL 33908(904) 712-9393 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaitlyn Boesenberg NPPES

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

KAITLYN BOESENBERG (NPI 1609652395) is an individual mental health provider in Fort Myers, Florida, licensed in Florida (IMH21621) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1609652395
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLYN BOESENBERG
Location Address17595 S TAMIAMI TRL STE 265CFort Myers, FL 33908-4884
Mailing Address17595 S Tamiami Trl Ste 265cFort Myers, FL 33908-4884 · (904) 712-9393
Phone(904) 712-9393
Sole ProprietorYes
Enumeration DateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
✔ NPI 1609652395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · IMH21621
17595 S TAMIAMI TRL STE 265C, Fort Myers, FL 33908
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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.

TODD BATTLES LMHC
Counselor (Mental Health)
17595 S TAMIAMI TRL STE 265C
FORT MYERS, FL 33908
Lee County (239) 310-2110
SHANNON LOMBARDI MS
Counselor (Mental Health)
17595 S TAMIAMI TRL STE 265C
FORT MYERS, FL 33908
Lee County (941) 549-8617

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 Kaitlyn Boesenberg's NPI number?

The NPI number for Kaitlyn Boesenberg is 1609652395. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Kaitlyn Boesenberg located?

Kaitlyn Boesenberg practices at 17595 S Tamiami Trl Ste 265C, Fort Myers, FL 33908. The listed phone number is (904) 712-9393.

What is Kaitlyn Boesenberg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kaitlyn Boesenberg was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.