Active NPI
Julie Fender, LPCC
- Mental Health Counselor
- Mason, OH
National Provider Identifier
1174602098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E0001843
- Practice address
- 7577 Central Parke Blvd Ste219
Mason, OH 45040 - Phone
- (513) 236-4222
- Fax
- (513) 336-7299
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E0001843 | OH | Primary |
Addresses
Primary practice location
7577 Central Parke Blvd Ste219
Mason, OH 45040
Mailing address
7577 Central Parke Blvd Ste 219
Mason, OH 45040-6806
Phone (513) 236-4222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 5, 2024 through Jun 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0001843 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174602098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7577 CENTRAL PARKE BLVD STE 219",
"city": "MASON",
"state": "OH",
"postal_code": "450406806",
"telephone_number": "513-236-4222",
"fax_number": "513-336-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7577 CENTRAL PARKE BLVD STE219",
"city": "MASON",
"state": "OH",
"postal_code": "45040",
"telephone_number": "513-236-4222",
"fax_number": "513-336-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENDER",
"first_name": "JULIE",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0001843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.