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MARY LOUISE PRENDERGAST L.M.H.C.
NPI 1730528381
Counselor - Mental Health in Jacksonville, FL

Active since June 17, 2013
836 PRUDENTIAL DR STE 1006, JACKSONVILLE, FL 32207(904) 376-3800(904) 396-8966 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2023, Aug 5, 2022, May 13, 2022 and 2 more (5 updates tracked since 2019).

About Mary Louise Prendergast L.m.h.c. NPPES

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

MARY LOUISE PRENDERGAST L.M.H.C. (NPI 1730528381) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH 10308) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1730528381
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY LOUISE PRENDERGASTCredential: L.M.H.C.
Location Address836 PRUDENTIAL DR STE 1006Jacksonville, FL 32207-8337
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Phone(904) 376-3800
Fax(904) 396-8966
Sole ProprietorYes
Enumeration DateJune 17, 2013
Last NPPES UpdateNovember 15, 20235 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1730528381 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 · MH 10308
836 PRUDENTIAL DR STE 1006, Jacksonville, FL 32207
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

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

ALYSSA MARIE CHEN PSY.D.
Psychologist (Clinical)
836 PRUDENTIAL DR STE 1006
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
MS. TRACY LYNN EDWARDS LCSW
Social Worker (Clinical)
836 PRUDENTIAL DR STE 1006
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
LYERLY BAPTIST INC
Family Medicine (Obesity Medicine)
836 PRUDENTIAL DR STE 1006
JACKSONVILLE, FL 32207
Duval County (904) 202-1795
DR. DANIEL FRANCO PHD
Psychologist (Clinical)
836 PRUDENTIAL DR STE 1006
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
MS. CAROLINE ELISABETH CARR RDN/LDN
Dietitian, Registered
836 PRUDENTIAL DR STE 1006
JACKSONVILLE, FL 32207
Duval County (904) 202-7546
CASEY RENEE BONAQUIST D.O.
Family Medicine (Obesity Medicine)
836 PRUDENTIAL DR STE 1006
JACKSONVILLE, FL 32207
Duval County (904) 202-1795
DR. SANEHA REENA GOYAL PSY.D.
Psychologist (Clinical)
836 PRUDENTIAL DR STE 1006
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DR. STEFANIE PALIATSOS PH.D.
Psychologist (Clinical)
836 PRUDENTIAL DR STE 1006
JACKSONVILLE, FL 32207
Duval County (904) 376-3800

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 Mary Prendergast's NPI number?

The NPI number for Mary Prendergast is 1730528381. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Where is Mary Prendergast located?

Mary Prendergast practices at 836 Prudential Dr Ste 1006, Jacksonville, FL 32207. The listed phone number is (904) 376-3800.

What is Mary Prendergast'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 Mary Prendergast was last updated on November 15, 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.