JEFFREY FENDER LMSW
NPI 1780549667
Counselor in Fort Wayne, IN

Q: What is Jeffrey Fender's NPI number?

The NPI number for Jeffrey Fender is 1780549667. It was assigned to this individual provider in the NPPES registry on December 22, 2025.

Q: What is Jeffrey Fender's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Fender was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 22, 2025

412 GREENWOOD AVENUE, FORT WAYNE, IN 46808(302) 513-6103 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jeffrey Fender Lmsw NPPES

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

JEFFREY FENDER LMSW (NPI 1780549667) is an individual counselor in Fort Wayne, Indiana, licensed in Indiana (33013521A) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1780549667

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJEFFREY FENDERCredential: LMSW

Location Address412 GREENWOOD AVENUEFort Wayne, IN 46808

Mailing Address412 Greenwood AveFort Wayne, IN 46808-3326

Phone(302) 513-6103

Sole ProprietorYes

Enumeration DateDecember 22, 2025

NPPES CertifiedDecember 22, 2025

✔ NPI 1780549667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IN · 33013521A

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

412 GREENWOOD AVENUE, Fort Wayne, IN 46808

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jeffrey Fender's NPI number?

The NPI number for Jeffrey Fender is 1780549667. It was assigned to this individual provider in the NPPES registry on December 22, 2025.

Where is Jeffrey Fender located?

Jeffrey Fender practices at 412 Greenwood Avenue, Fort Wayne, IN 46808. The listed phone number is (302) 513-6103.

What is Jeffrey Fender's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Fender was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.