MS. WENDI-JO BIANCA CANCILLA LMHC
NPI 1194958934
Counselor - Mental Health in Jacksonville, FL

Active since August 27, 2009
4080 WOODCOCK DR, MIDTOWN CENTRE, BUILDING 2400, SUITE 105, JACKSONVILLE, FL 32207(904) 396-1770(904) 396-1897 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Wendi-jo Bianca Cancilla Lmhc NPPES

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

MS. WENDI-JO BIANCA CANCILLA LMHC (NPI 1194958934) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH8430) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1194958934
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. WENDI-JO BIANCA CANCILLACredential: LMHC
Location Address4080 WOODCOCK DR, MIDTOWN CENTRE, BUILDING 2400, SUITE 105Jacksonville, FL 32207-2722
Mailing AddressPo Box 19249Jacksonville, FL 32245-9249 · (904) 743-1883 · Fax (904) 743-5109
Fax(904) 396-1897
Sole ProprietorYes
Enumeration DateAugust 27, 2009
NPI 1194958934 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 · MH8430
4080 WOODCOCK DR, Jacksonville, FL 32207

Other Identifiers 1

Medicaid767278100FL

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 Wendi-jo Cancilla's NPI number?

The NPI number for Wendi-jo Cancilla is 1194958934. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Where is Wendi-jo Cancilla located?

Wendi-jo Cancilla practices at 4080 Woodcock Dr Midtown Centre, Building 2400, Suite 105, Jacksonville, FL 32207. The listed phone number is (904) 396-1770.

What is Wendi-jo Cancilla'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 Wendi-jo Cancilla was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.