Melissa D. Fenton, PA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH8881 Issued in FL

Legal business name

MELISSA D. FENTON, PA

Practice address

13500 Sutton Park Dr S Ste 203
Jacksonville, FL 32224-5291

Phone

(904) 992-9930

NPI assigned

Feb 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa FentonNPI 1912099391

Title

President

Phone

(904) 992-9930

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Diane Fenton, L.M.H.C.

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1912099391
  NPD (past) Authorized official
• Terri Northup Wall, PH.D.

  • Psychologist
  • Jacksonville, FL
  • NPI 1275719718
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629110226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 SUTTON PARK DR S STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245291",
            "telephone_number": "904-992-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 SUTTON PARK DR S STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245291",
            "telephone_number": "904-992-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA D. FENTON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-992-9930"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl A. Mele, APRN
• Kandie Ayana Melendez-Ortez
• Luis Melendez, CFA
• Shajitha Melethil, M.B.B.S.
• Melissa Brown LMHC LLC
• Kathryn Elizabeth Melko, PHD, RD, CDE
• Romulo Delfin Mella, M.D.
• Romulo Joseph Mella, L.C.S.W.
• Estrella Lizbeth Mellin Sanchez, M.D.
• Laurie Mellon, DPT

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.