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LCH- PEDS BEHAVIORAL HEALTH GN BCH
NPI 1851028823
Clinic/Center - Federally Qualified Health Center (FQHC) in Estero, FL

Active since August 01, 2022
3501 HEALTH CENTER BLVD STE 2190, ESTERO, FL 34135(239) 343-6050(239) 343-6051 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 1, 2022, Nov 25, 2022, Aug 1, 2022 (3 updates tracked since 2022).

About Lch- Peds Behavioral Health Gn Bch NPPES

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

LCH- PEDS BEHAVIORAL HEALTH GN BCH (NPI 1851028823) is a healthcare organization registered as a federally qualified health center (fqhc) in Estero, Florida and active in the NPI registry since August 2022. The organization lists Joseph Niebergall, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1851028823
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEE MEMORIAL HEALTH SYSTEM
Location Address3501 HEALTH CENTER BLVD STE 2190Estero, FL 34135-8133
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6050 · Fax (239) 343-4257
Phone(239) 343-6050
Fax(239) 343-6051
Organization SubpartNo
Authorized OfficialJoseph NiebergallCredentialing Specialist · (239) 424-1446
Enumeration DateAugust 1, 2022
Last NPPES UpdateDecember 1, 20223 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
✔ NPI 1851028823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
3501 HEALTH CENTER BLVD STE 2190, Estero, FL 34135
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Other Names 1

Doing Business AsLch- Peds Behavioral Health Gn Bch

Other Providers at the Same Location NPPES 4

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

KILONDRA C.V DAVIS LMHC, NCC
Counselor (Mental Health)
3501 HEALTH CENTER BLVD STE 2190
ESTERO, FL 34135
Lee County (239) 343-6050
DR. KRISTEN ELIZABETH BOLOMEY PSY.D.
Psychologist
3501 HEALTH CENTER BLVD STE 2190
ESTERO, FL 34135
Lee County (239) 343-6050
DR. ALEX ROBERTS PH.D.
Psychologist
3501 HEALTH CENTER BLVD STE 2190
ESTERO, FL 34135
Lee County (239) 468-0300
DR. SUSAN LYNN MOSCHOS PH.D.
Psychologist (Clinical Child & Adolescent)
3501 HEALTH CENTER BLVD STE 2190
ESTERO, FL 34135
Lee County (239) 468-0300

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 Lee Memorial Health System's NPI number?

The NPI number for Lee Memorial Health System is 1851028823. It was assigned to this organization in the NPPES registry on August 1, 2022. The provider is doing business as Lch- Peds Behavioral Health Gn Bch.

Where is Lee Memorial Health System located?

Lee Memorial Health System is located at 3501 Health Center Blvd Ste 2190, Estero, FL 34135. The listed phone number is (239) 343-6050.

What is Lee Memorial Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Lee Memorial Health System was last updated on December 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.