Denise Elaine Fattic, PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2024029153 Issued in MO

Practice address

230 S Bemiston Ave Ste 920
Clayton, MO 63105-1997

Phone

(800) 353-6402

NPI assigned

Aug 5, 2024

Sex

Female

Sole proprietor

No

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

Locations

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.

• Profectus Counseling, LLC

  • Mental Health Counselor
  • Clayton, MO
  • NPI 1043802077
  NPD

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1023848959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE STE 920",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051997",
            "telephone_number": "800-353-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE STE 920",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051997",
            "telephone_number": "800-353-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTIC",
        "first_name": "DENISE",
        "middle_name": "ELAINE",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2024029153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endodontic Specialists
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• Thomas L. Farmer, D.M.D.
• Jonathan Felsher, PT
• Armela Ferhatovic, FNP-C
• Hiran R Fernando, DDS
• Kathryn Anne Ferrell
• Filling the Gap LLC

• Mental Health Counselor in Clayton, MO
• Providers in Clayton, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; 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.