Peter Fashho, M.A., L.P.C

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401014930 Issued in MI

Practice address

9329 Telegraph Rd
Redford, MI 48239

Phone

(313) 937-9500

NPI assigned

Nov 8, 2013

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• River Crest Counseling Services

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  • NPI 1487460390
  NPD Authorized official
• Lincoln Behavioral Services

  • Family Medicine Physician
  • Redford, MI
  • NPI 1356987762
  NPD (past)

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1205265451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD STE 245",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254521",
            "telephone_number": "734-956-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9329 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "48239",
            "telephone_number": "313-937-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9329 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482391260",
            "country_code": "US",
            "telephone_number": "313-937-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FASHHO",
        "first_name": "PETER",
        "credential": "M.A., L.P.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-08",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Redford, MI
• Providers in Redford, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.