IndividualActive
Pauline Fenzau, LMHC, PH.D.
NPI 1568472017 · Mental Health Counselor · St Petersburg, FL
Provider details
- NPI number
- 1568472017
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC, PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MH4291 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
4024 Central Ave
St Petersburg, FL 33711-1239
Phone: (727) 032-7765
Fax: (727) 327-0566
Street-level locationGet directions
Mailing address
5829 18th Ave S
Gulfport, FL 33707-4005
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.