Melissa Fannin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5465 - 125 Issued in WI

Practice address

230 Pine St
La Crosse, WI 54601-3481

Phone

(608) 668-2103

Fax

(833) 997-3923

NPI assigned

Nov 1, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.fannin.1@29082.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Viaro Professional Arts LTD Health Care

  • General Practice Physician
  • La Crosse, WI
  • NPI 1669199907
  Medicare reassignment NPD
• Fannin Counseling & Art Therapy

  • Mental Health Counselor
  • La Crosse, WI
  • NPI 1730691205
  NPD Authorized official
• Viaro LLC

  • General Practice Physician
  • La Crosse, WI
  • NPI 1609515865
  NPD
• Garrison Counseling, Inc.

  • Community/Behavioral Health Agency
  • La Crosse, WI
  • NPI 1699957241
  NPD (past)

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1487059440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PINE ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013481",
            "telephone_number": "608-668-2103",
            "fax_number": "833-997-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PINE ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013481",
            "telephone_number": "608-668-2103",
            "fax_number": "833-997-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNIN",
        "first_name": "MELISSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-01",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5465 - 125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medical Supply and Cpap Store Inc
• Family Vision Center of la Crosse
• Cassandra L Fanelli
• Lori Ann Fanello, B.S.N.
• Fannin Counseling & Art Therapy
• Harry Franklin Farb, M.D.
• Brianna Dorriss Farley, NP
• Emily Marie Farmer, AUD
• John P Farnen, MD
• Madeline Rita Fasen, DO

• Professional Counselor in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.