IndividualActive
Wendy Fortune
NPI 1013739317 · Mental Health Counselor · Jacksonville, FL
Provider details
- NPI number
- 1013739317
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- IMH26387 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3003 Claire Lane
Ste 202
Jacksonville, FL 32223
Phone: (904) 379-8675
Street-level locationGet directions
Mailing address
43 Knight Boxx Rd
Orange Park, FL 32065-7395
Registry dates
- Enumerated
- 2024-10-28
- Last updated
- 2024-10-28
- Certified
- 2024-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.