Individual provider Active NPI

Melissa Marie Mosca Fabeny, M.A., L.P.C

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1235383282
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6608 Issued in NC
Practice address
1116 Greenwood CLFS
Charlotte, NC 28204-2821
Phone
(704) 334-0524
Fax
(704) 334-0524
NPI assigned
Nov 4, 2008
Last updated
Jan 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6608 NC Primary

Addresses

Primary practice location

1116 Greenwood CLFS
Charlotte, NC 28204-2821

Mailing address

1116 Greenwood CLFS
Charlotte, NC 28204-2821
Phone (704) 334-0524

Other identifiers 1

IdentifierTypeStateIssuer
6104035MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 16, 2024 through Jan 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Bareiter Counseling 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1235383282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 GREENWOOD CLFS",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042821",
            "telephone_number": "704-334-0524",
            "fax_number": "704-334-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 GREENWOOD CLFS",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042821",
            "telephone_number": "704-334-0524",
            "fax_number": "704-334-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABENY",
        "first_name": "MELISSA",
        "middle_name": "MARIE MOSCA",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.P.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104035",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.