Active NPI
Danielle Elizabeth Fanslow, BSW, LADC
- Addiction (Substance Use Disorder) Counselor
- Rochester, MN
National Provider Identifier
1093426793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 306546
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 306546 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zumbro Valley Health Center | Past | 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.
-
- Community/Behavioral Health Agency
- Rochester, MN
- NPI 1801961263
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.