Active NPI
Daniel Fabian, M.ED.
- Counselor
- Springfield, MA
National Provider Identifier
1306206149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 128242037
- Practice address
- 3400 Main St
Springfield, MA 01199-1003 - Phone
- (413) 794-0000
- NPI assigned
- Mar 6, 2016
- 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 | 128242037 | CT | Primary |
Addresses
Primary practice location
3400 Main St
Springfield, MA 01199-1003
Mailing address
29 Riverwalk Dr
Weatogue, CT 06089-9624
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128242037 | CT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457222400000",
"number": "1306206149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 RIVERWALK DR",
"city": "WEATOGUE",
"state": "CT",
"postal_code": "060899624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991003",
"telephone_number": "413-794-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABIAN",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-06",
"last_updated": "2016-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "128242037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.