Individual provider Active NPI

Fabian Ludwig Kuttner

  • Counselor
  • Charlottesville, VA
National Provider Identifier
1093385106
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0704007750 Issued in VA
Practice address
901 Preston Ave Ste 400
Charlottesville, VA 22903-4491
Phone
(434) 249-7661
NPI assigned
Jun 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0704007750 VA Primary

Addresses

Primary practice location

901 Preston Ave Ste 400
Charlottesville, VA 22903-4491

Mailing address

408 E Market St Apt 308
Charlottesville, VA 22902-5258
Phone (434) 249-7661

Other practice location 1

408 E Market St Fl 2
Charlottesville, VA 22902-5261
Phone (434) 249-7661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0704007750VAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1093385106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E MARKET ST APT 308",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025258",
            "telephone_number": "434-249-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PRESTON AVE STE 400",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034491",
            "telephone_number": "434-249-7661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 E Market St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229025261",
            "country_code": "US",
            "telephone_number": "434-249-7661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTTNER",
        "first_name": "FABIAN",
        "middle_name": "LUDWIG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704007750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

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