Active NPI
Nicholas Joseph Fasanello, LPC
- Professional Counselor
- Birmingham, AL
National Provider Identifier
1518630656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3189A
- Practice address
- 1 Perimeter Park S Ste 100N
Birmingham, AL 35243-3248 - Phone
- (205) 936-2356
- NPI assigned
- Jul 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3189A | AL | Primary |
Addresses
Primary practice location
1 Perimeter Park S Ste 100N
Birmingham, AL 35243-3248
Mailing address
1 Perimeter Park S Ste 100N
Birmingham, AL 35243-3248
Phone (205) 936-2356
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3189A | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1518630656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PERIMETER PARK S STE 100N",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352433248",
"telephone_number": "205-936-2356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PERIMETER PARK S STE 100N",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352433248",
"telephone_number": "205-936-2356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASANELLO",
"first_name": "NICHOLAS",
"middle_name": "JOSEPH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "C3189A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.