Active NPI
Fabian Ludwig Kuttner
- Counselor
- Charlottesville, VA
National Provider Identifier
1093385106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0704007750
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0704007750 | VA | MD | Counselor |
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.