Allison Fender, LPC, LLC
Organization Active NPI Mental Health Counselor · Kingsland, GA
NPI 1821782335 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1821782335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- ALLISON FENDER, LPC, LLC
- Practice address
- 100 Mariners Dr Ste D
Kingsland, GA 31548-6667 - Phone
- (912) 510-0669
- Fax
- (912) 510-0754
- NPI assigned
- Jun 7, 2023
- Organization subpart
- No
Authorized official
- Name
- Ms. Allison McManus Fender, LPC
- Title
- Owner
- Phone
- (912) 580-0989
Practitioners 1
-
Allison Fender, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250416002719 | GA | Part B Supplier - Clinic/Group Practice | 5698290245 |
Receives reassigned benefits from 1 practitioner Practice locations: Madison, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
100 Mariners Dr Ste D
Kingsland, GA 31548-6667
Mailing address
1339 Cedar Dr
Madison, GA 30650-4261
Phone (912) 580-0989
Other practice location 1
1339 Cedar Dr
Madison, GA 30650-4261
Phone (912) 580-0989
Other providers in Kingsland, GA
- Advance Rehabilitation & Consulting Limited Partnership
- Bernard H Agnew
- Amber Alabre
- Lindsay Aldridge
- Bailee Stephens Allen
- Stacy Nicole Alvare
- Amato Chiropractic Clinic
- David Matthew Amato
- Lesa A Amato
- Amelia Medical Services, LLC
All providers in Kingsland, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.