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ALLISON NICOLE FENDLEY LMHC
NPI 1770355430
Counselor - Mental Health in Jacksonville, FL

Active since October 26, 2023PECOS EnrolledAccepts Medicare Assignment
836 PRUDENTIAL DR STE 1507, JACKSONVILLE, FL 32207(904) 376-3800(904) 390-7398 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2026, Dec 31, 2025, Dec 18, 2025 and 1 more (4 updates tracked since 2023).

About Allison Nicole Fendley Lmhc NPPES

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

ALLISON NICOLE FENDLEY LMHC (NPI 1770355430) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH26075) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1770355430
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALLISON NICOLE FENDLEYCredential: LMHC
Location Address836 PRUDENTIAL DR STE 1507Jacksonville, FL 32207-8342
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Phone(904) 376-3800
Fax(904) 390-7398
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 26, 2023
Last NPPES UpdateJanuary 5, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1770355430 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 · MH26075
836 PRUDENTIAL DR STE 1507, Jacksonville, FL 32207
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Allison Nicole Fendley Lmhc 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 ID7810483229
PECOS Enrollment IDI20260106000335
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.

Other Providers at the Same Location NPPES 10

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

MRS. CHRISTINE NICOLE CREWS ARNP
Nurse Practitioner (Psychiatric/Mental Health)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
HIDI LEIGH MCCHESNEY MOODY APRN
Nurse Practitioner (Psychiatric/Mental Health)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
KELLY LYNN SHURMAN LMHC
Counselor (Mental Health)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
SARA MAE SIMPSON LMHC
Counselor (Mental Health)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
RYAN RISH
Social Worker (Clinical)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DORIE ELIZABETH HANSON LMHC
Counselor (Mental Health)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DEBORAH ELLEN ANTHONY LMHC
Counselor (Mental Health)
836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DEIDRA D DAVIS LCSW
Social Worker (Clinical)
836 PRUDENTIAL DR STE 1507
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 Allison Fendley's NPI number?

The NPI number for Allison Fendley is 1770355430. It was assigned to this individual provider in the NPPES registry on October 26, 2023.

Where is Allison Fendley located?

Allison Fendley practices at 836 Prudential Dr Ste 1507, Jacksonville, FL 32207. The listed phone number is (904) 376-3800.

What is Allison Fendley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Allison Fendley enrolled in Medicare?

Yes. Allison Fendley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Allison Fendley was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.