Julie Elaine Fann, MED, LCMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14088 Issued in NC

Practice address

113 Edinburgh South Dr Ste 130
Cary, NC 27511-6456

Phone

(919) 670-2247

Fax

(919) 462-0433

NPI assigned

Jul 31, 2018

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 16, 2024 through Apr 16, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1407334634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 W KNOX ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054130",
            "telephone_number": "919-670-2247",
            "fax_number": "919-462-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 EDINBURGH SOUTH DR STE 130",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116456",
            "telephone_number": "919-670-2247",
            "fax_number": "919-462-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANN",
        "first_name": "JULIE",
        "middle_name": "ELAINE",
        "credential": "MED, LCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14088",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "14088",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medical Supply LLC
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• Family Psychiatry Practice & Associates, PLLC
• Family Trust Care Home LLC
• Shi Xun Fang
• Netta Farber, OTR/L
• Faraz Fareed, PHARMD
• Natalie Faris, PHARMD
• Jennifer Lynn Farley, RPH
• Joi Farmer

• Mental Health Counselor in Cary, NC
• Providers in Cary, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.