Don Fennimore, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1335076004 Issued in UT

Practice address

4460 Highland Dr
Suite 300
Salt Lake City, UT 84124-3543

Phone

(801) 273-6366

Fax

(801) 273-6363

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1376515288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 ELEVENTH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033602",
            "telephone_number": "801-231-3855",
            "fax_number": "801-273-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 HIGHLAND DR",
            "address_2": "SUITE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243543",
            "telephone_number": "801-273-6366",
            "fax_number": "801-273-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNIMORE",
        "first_name": "DON",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "1335076004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey B. Fenger, MD
• Bryson Lee Fenimore
• Jordan B. Fenlon, MD
• Luke A. Fenlon, MD
• Prashanth G. Fenn, MD
• Fenster Corp.
• Charles Andrew Fenstermaker, DPT
• Christina K Fenstermaker
• Kimberly Rae Fenstermaker
• Nicole Fenstermaker

• Professional Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.