Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Lisa Grimmer

Individual provider Mental Health Counselor · NPI 1629708243

Mary Lisa Grimmer is a Mental Health Counselor in Fort Myers, Florida. Qualified in 2006, 20 years ago. Practices with Florida Coast Counseling LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
20
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

7235 Maida Ln Apt 5C
Fort Myers, FL 33908-4203
Phone: (239) 410-7559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH11345 (FL)

Record details

NPI number1629708243
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 15, 2022
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Florida Coast Counseling Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Myers