John P Fath, LCPC

Primary specialty

SpecialistTaxonomy code 174400000X

License

LC0023 Issued in MD

Practice address

1001 Spring St
Suite 104
Silver Spring, MD 20910-4022

Phone

(301) 565-2145

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. J Gerald Fath Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548484843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SPRING ST",
            "address_2": "SUITE 104",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104022",
            "telephone_number": "301-565-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SPRING ST",
            "address_2": "SUITE 104",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104022",
            "telephone_number": "301-565-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATH",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "LC0023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "FATH",
            "middle_name": "GERALD",
            "prefix": "DR.",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Specialist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.