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: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Mental Health

About KAITLYN BOESENBERG

This page provides the complete NPI Profile along with additional information for Kaitlyn Boesenberg, a provider established in Fort Myers, Florida with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1609652395 assigned on September 2023. The practitioner's primary taxonomy code is 101YM0800X with license number IMH21621 (FL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1609652395 Verify this NPI
Provider Name
KAITLYN BOESENBERG
Gender
Female
Entity Type
Individual
Location Address
17595 S TAMIAMI TRL STE 265C FORT MYERS, FL 33908
Location Phone
(904) 712-9393
Mailing Address
17595 S TAMIAMI TRL STE 265C FORT MYERS, FL 33908
Mailing Phone
(904) 712-9393
Is Sole Proprietor?
Yes
Enumeration Date
09-07-2023
Last Update Date
09-07-2023
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A mental health counselor like Kaitlyn Boesenberg provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
IMH21621
License State
FL

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Mental Health)
17595 S TAMIAMI TRL STE 265C
FORT MYERS, FL 33908
Counselor (Mental Health)
17595 S TAMIAMI TRL STE 265C
FORT MYERS, FL 33908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609652395, enumerated as an "individual" on September 07, 2023.

The provider is located at 17595 S TAMIAMI TRL STE 265C FORT MYERS, FL 33908 and the phone number is (904) 712-9393.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.