Organization Active NPI

Julia Fischetto, Ms,PA

  • Mental Health Counselor
  • Lauderdale by the Sea, FL
National Provider Identifier
1427473016
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 0003922 Issued in FL
Legal business name
JULIA FISCHETTO, MS,PA
Practice address
218 Commercial Blvd Ste 201H
Lauderdale by the Sea, FL 33308-4455
Phone
(954) 491-9040
Fax
(954) 492-0334
NPI assigned
Feb 19, 2014
Last updated
Feb 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Julia Fischetto Lucille Fischetto, L.M.H.C.
Title
Psychotherapist/President
Phone
(954) 491-9040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 0003922 FL Primary

Addresses

Primary practice location

218 Commercial Blvd Ste 201H
Lauderdale by the Sea, FL 33308-4455

Mailing address

5208 NE 24TH Ter Apt 317F
Ft Lauderdale, FL 33308-3947
Phone (954) 491-9040

Other names 1

  • Julia Fischetto Other name

National Provider Directory

National Provider Directory

Locations

218 Commercial Blvd
Ste 201H
Lauderdale by the Sea, FL 33308
Phone (954) 491-9040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1427473016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 NE 24TH TER APT 317F",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083947",
            "telephone_number": "954-491-9040",
            "fax_number": "954-492-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 COMMERCIAL BLVD STE 201H",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084455",
            "telephone_number": "954-491-9040",
            "fax_number": "954-492-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA FISCHETTO, MS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "FISCHETTO",
        "authorized_official_first_name": "JULIA FISCHETTO",
        "authorized_official_middle_name": "LUCILLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "954-491-9040",
        "authorized_official_credential": "L.M.H.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 0003922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julia Fischetto",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.