KEITH FENDELANDER
NPI 1578982369
Counselor - Addiction (Substance Use Disorder) in Punta Gorda, FL

Q: What is Keith Fendelander's NPI number?

The NPI number for Keith Fendelander is 1578982369. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Q: What is Keith Fendelander's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Keith Fendelander was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 09, 2014PECOS EnrolledAccepts Medicare Assignment

1700 EDUCATION AVE, PUNTA GORDA, FL 33950(941) 639-8300(941) 347-6455 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Keith Fendelander NPPES

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

KEITH FENDELANDER (NPI 1578982369) is an individual addiction (substance use disorder) provider in Punta Gorda, Florida and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Florida State University College Of Medicine (2005).

NPPES Registry Identity

NPI1578982369

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameKEITH FENDELANDER

Location Address1700 EDUCATION AVEPunta Gorda, FL 33950-6222

Mailing Address1700 Education AvePunta Gorda, FL 33950-6222 · (941) 639-8300 · Fax (941) 347-6455

Phone(941) 639-8300

Fax(941) 347-6455

Sole ProprietorNo

Medical School CMSFlorida State University College Of MedicineGraduated 2005

Enumeration DateApril 9, 2014

✔ NPI 1578982369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

1700 EDUCATION AVE, Punta Gorda, FL 33950

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keith Fendelander is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557809985

PECOS Enrollment IDI20240816002333

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Keith Fendelander reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charlotte Behavioral Health Care Inc

0.1 mi

Mental Health

1700 EDUCATION AVE
Punta Gorda, FL 33950

Reassigned Medicare billing, Florida enrollment
20 clinicians in this Medicare group

NPI 1760460653 (941) 639-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

CYNTHIA LYNN HIGHSMITH HEALY LMHC

Counselor (Mental Health)