Mr James W Fendalson, MDIV,CPT,LCMHT in Gulfport, MS

Mr James W Fendalson, MDIV,CPT,LCMHT is a Counselor - Mental Health based in Gulfport, Mississippi. Mr James W Fendalson is licensed to practice in * (Not Available) (license number ) and his current practice location is 1600 Broad Ave, Gulfport, Mississippi. He can be reached at his office (for appointments etc.) via phone at (228) 863-1132.

NPI number for Mr James W Fendalson is 1922012012 and his current mailing address is 1600 Broad Ave, Gulfport, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922012012.

Contact Information

	Mr James W Fendalson, MDIV,CPT,LCMHT
	1600 Broad Ave, Gulfport, MS 39501-3603
	(228) 863-1132
	(228) 865-1700

Map and Direction

Healthcare Provider's Profile

Full Name	Mr James W Fendalson
Gender	Male
Speciality	Counselor - Mental Health
Location	1600 Broad Ave, Gulfport, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1922012012
Provider Enumeration Date: 07/27/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr James W Fendalson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922012012	NPI	-	NPPES
00018213	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr James W Fendalson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr James W Fendalson, MDIV,CPT,LCMHT 1600 Broad Ave, Gulfport, MS 39501-3603 Ph: (228) 863-1132	Mr James W Fendalson, MDIV,CPT,LCMHT 1600 Broad Ave, Gulfport, MS 39501-3603 Ph: (228) 863-1132

Reviews and Comments

Counselor in Gulfport, MS

Mrs. Brenda Kay Crew, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 127 Gary St, Gulfport, MS 39503 Phone: 228-832-4495 Fax: 228-832-4495
Mrs. Ashira Windsor, MSW, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1601 30th Ave, Gulfport, MS 39501 Phone: 228-284-2644 Fax: 855-402-2013
Krystal Rice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-213-5888 Fax: 228-575-3433
Christina Machelle Davis, P-LPC, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2352 E Pass Rd, Gulfport, MS 39507 Phone: 228-284-2337 Fax: 228-284-2337
Cynthia Willett, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-863-1132
Ms. Rita A Rademacher, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-863-1132 Fax: 228-865-1700
Olivia Vepley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 Security Sq, Gulfport, MS 39507 Phone: 363-222-8206

Mr James W Fendalson, MDIV,CPT,LCMHT - Counselor in Gulfport, MS