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MR. JAMES W FENDALSON M.DIV,CPT,L.C.M.H.T.
NPI 1922012012
Counselor - Mental Health in Gulfport, MS

Active since July 27, 2006
1600 BROAD AVE, GULFPORT, MS 39501(228) 863-1132(228) 865-1700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. James W Fendalson M.div,cpt,l.c.m.h.t. NPPES

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

MR. JAMES W FENDALSON M.DIV,CPT,L.C.M.H.T. (NPI 1922012012) is an individual mental health provider in Gulfport, Mississippi and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1922012012
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JAMES W FENDALSONCredential: M.DIV,CPT,L.C.M.H.T.
Location Address1600 BROAD AVEGulfport, MS 39501-3603
Mailing Address1600 Broad AveGulfport, MS 39501-3603 · (228) 863-1132 · Fax (228) 865-1700
Phone(228) 863-1132
Fax(228) 865-1700
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922012012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1600 BROAD AVE, Gulfport, MS 39501
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Other Identifiers 1

Medicaid00018213MS

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.

JUNE BOUDREAUX CPSS
Peer Specialist
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
KRYSTAL RICE
Counselor
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 213-5888
CYNTHIA WILLETT PCMHT
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
MS. RITA A RADEMACHER LMSW
Social Worker
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
CATHERINE JONES LMFT
Marriage & Family Therapist
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
KATHY ULLAND P-LPC
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (122) 886-5133
KATRINA GRIFFITH LPC
Counselor (Professional)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
CHRISTINA MARIE LADD LMHC
Counselor (Professional)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132

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 James Fendalson's NPI number?

The NPI number for James Fendalson is 1922012012. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is James Fendalson located?

James Fendalson practices at 1600 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 863-1132.

What is James Fendalson'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 James Fendalson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.