Active NPI
Anita Ellen Fadden, LCAS-A
- Counselor
- Winston Salem, NC
National Provider Identifier
1396095907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 665 W. 4TH Street
Winston Salem, NC 27101 - Phone
- (336) 725-8389
- Fax
- (336) 725-1061
- NPI assigned
- Sep 12, 2012
- Sex
- Female
- 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 | NC | Primary |
Addresses
Primary practice location
665 W. 4TH Street
Winston Salem, NC 27101
Mailing address
665 W. 4TH Street
Winston Salem, NC 27101
Phone (336) 725-8389
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1396095907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 W. 4TH STREET",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27101",
"telephone_number": "336-725-8389",
"fax_number": "336-725-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 W. 4TH STREET",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27101",
"telephone_number": "336-725-8389",
"fax_number": "336-725-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADDEN",
"first_name": "ANITA",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "LCAS-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.