SAMANTHA LOWER DETTMAR MS
NPI 1639794910
Counselor - Mental Health in Fort Myers, FL

Active since June 11, 2020
822 UMBER DR, FORT MYERS, FL 33913(423) 943-3724 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2023, Jun 16, 2020, Jun 11, 2020 (3 updates tracked since 2020).

About Samantha Lower Dettmar Ms NPPES

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

SAMANTHA LOWER DETTMAR MS (NPI 1639794910) is an individual mental health provider in Fort Myers, Florida, licensed in Florida (MH22578) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1639794910
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA LOWER DETTMARCredential: MS
Location Address822 UMBER DRFort Myers, FL 33913-2415
Mailing Address822 Umber DrFort Myers, FL 33913-2415 · (423) 943-3724
Sole ProprietorNo
Enumeration DateJune 11, 2020
Last NPPES UpdateOctober 17, 20233 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
NPI 1639794910 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 · MH22578
822 UMBER DR, Fort Myers, FL 33913

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 Samantha Dettmar's NPI number?

The NPI number for Samantha Dettmar is 1639794910. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Samantha Dettmar located?

Samantha Dettmar practices at 822 Umber Dr, Fort Myers, FL 33913. The listed phone number is (423) 943-3724.

What is Samantha Dettmar'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 Samantha Dettmar was last updated on October 17, 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.