Individual provider Active NPI

Danielle Elizabeth Fanslow, BSW, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Rochester, MN
National Provider Identifier
1093426793
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
306546 Issued in MN
Practice address
29 7TH St NE
Rochester, MN 55906-3644
Phone
(507) 289-2089
Fax
(507) 535-5798
NPI assigned
Dec 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 306546 MN Primary

Addresses

Primary practice location

29 7TH St NE
Rochester, MN 55906-3644

Mailing address

343 Woodlake Dr SE
Rochester, MN 55904-6242
Phone (507) 289-2089

Other practice location 1

343 Woodlake Dr SE
Rochester, MN 55904-6242
Phone (507) 289-2089 ext. 5612

Other practice location 2

1620 Greenview Dr SW
Rochester, MN 55902-4319
Phone (507) 289-2089 ext. 5612

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
306546MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Zumbro Valley Health Center PastSince Jun 1, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1093426793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 WOODLAKE DR SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046242",
            "telephone_number": "507-289-2089",
            "fax_number": "507-535-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 7TH ST NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063644",
            "telephone_number": "507-289-2089",
            "fax_number": "507-535-5798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "343 Woodlake Dr SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559046242",
            "country_code": "US",
            "telephone_number": "507-289-2089 x5612",
            "fax_number": "507-535-5798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Greenview Dr SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559024319",
            "country_code": "US",
            "telephone_number": "507-289-2089 x5612",
            "fax_number": "507-535-5798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANSLOW",
        "first_name": "DANIELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "BSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.