MARVIN GENE PEMBERTON JR.
NPI 1992277735
Counselor - Mental Health in Jacksonville, FL

Active since December 18, 2018
1725 OAKHURST AVE, JACKSONVILLE, FL 32208(904) 765-0665 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marvin Gene Pemberton Jr. NPPES

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

MARVIN GENE PEMBERTON JR. (NPI 1992277735) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1992277735
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARVIN GENE PEMBERTON JR.
Location Address1725 OAKHURST AVEJacksonville, FL 32208-3200
Mailing Address1725 Oakhurst AveJacksonville, FL 32208-3200 · (904) 765-0665
Sole ProprietorNo
Enumeration DateDecember 18, 2018
NPI 1992277735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1725 OAKHURST AVE, Jacksonville, FL 32208

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.

Counselor (Mental Health)
1725 OAKHURST AVE
JACKSONVILLE, FL 32208
Counselor (Mental Health)
1725 OAKHURST AVE
JACKSONVILLE, FL 32208
Counselor (Mental Health)
1725 OAKHURST AVE
JACKSONVILLE, FL 32208
Counselor (Mental Health)
1725 OAKHURST AVE
JACKSONVILLE, FL 32208
Counselor (Mental Health)
1725 OAKHURST AVE
JACKSONVILLE, FL 32208
Counselor (Mental Health)
1725 OAKHURST AVE
JACKSONVILLE, FL 32208
Counselor (Mental Health)
1725 OAKHURST AVE
JACKSONVILLE, FL 32208
Counselor (Mental Health)
1725 OAKHURST AVE
JACKSONVILLE, FL 32208

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 Marvin Pemberton's NPI number?

The NPI number for Marvin Pemberton is 1992277735. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Where is Marvin Pemberton located?

Marvin Pemberton practices at 1725 Oakhurst Ave, Jacksonville, FL 32208. The listed phone number is (904) 765-0665.

What is Marvin Pemberton'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 Marvin Pemberton was last updated on December 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.