Patricia Tapp Fanning, LPC/MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0000001774 Issued in TN

Practice address

100 5TH St Ste 310
Bristol, TN 37620-5919

Phone

(865) 281-1408

Fax

(865) 244-3579

NPI assigned

Apr 25, 2013

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mrs. Patricia Starbird Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Clinical & Forensic Consultation, LLC

  dba Thriveworks

  • Professional Counselor
  • Thompsons Station, TN
  • NPI 1790106979
  NPD
• Healthy Mind Counseling Services, Inc

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1457409898
  NPD

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1306280987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 5TH ST STE 310",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205919",
            "telephone_number": "865-281-1408",
            "fax_number": "865-244-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 5TH ST STE 310",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205919",
            "telephone_number": "865-281-1408",
            "fax_number": "865-244-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "PATRICIA",
        "middle_name": "TAPP",
        "name_prefix": "Mrs.",
        "credential": "LPC/MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004887",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000001774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "LPC0701004887",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "LPC0000001774",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "STARBIRD",
            "prefix": "MRS.",
            "credential": "LPC/MHSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natasha Brittney Estep, APRN
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• Stephen K Evans, MD
• Eyedeal Surgical Services, LLC
• Jody Dean Farra, MA LPE LPC
• Patricia Sue Farris, DPH
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• Hannah Elisabeth Fayler, BCABA
• Shawna Marie Feeley, O.D.

• Professional Counselor in Bristol, TN
• Providers in Bristol, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.