Darrell Wayne Fennell Jr., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH15956 Issued in FL

Practice address

400 N Ashley Dr Ste 2600
Tampa, FL 33602

Phone

(813) 557-7118

NPI assigned

May 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• D. Fennell Jr, LLC

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1396225918
  NPD (past) Authorized official

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

{
    "created_epoch": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1639668692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 BERKELEY MANOR BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346066903",
            "telephone_number": "813-557-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ASHLEY DR STE 2600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33602",
            "telephone_number": "813-557-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "DARRELL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-05",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Fendler
• Fenix Home Health Services Inc
• Amanda Fenn
• Adam Greg Fennell, MD
• Angel V Fennell
• Robin Fennell, RN
• Gabriela Fenollal Maldonado
• Chelsea B Fenton, D.M.D.
• Misty Lee Fenton, M.ED., LMHC
• Denise Ferhat Feradov, MD

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, 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 14, 2018; 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.