Donna Fantozzi, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002713 Issued in MO

Practice address

1217 Woodland Point Dr.
Unit L
St. Louis, MO 63146-1837

Phone

(314) 906-0054

Fax

(314) 469-3523

NPI assigned

Aug 15, 2006

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

Other identifiers 1

Other names 1

• Donna Fedyk Former 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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639182801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 WOODLAND POINT DRIVE",
            "address_2": "UNIT L",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631461837",
            "telephone_number": "314-906-0054",
            "fax_number": "314-469-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 WOODLAND POINT DR.",
            "address_2": "UNIT L",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631461837",
            "telephone_number": "314-906-0054",
            "fax_number": "314-469-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTOZZI",
        "first_name": "DONNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "002713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "182434",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "FEDYK",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Fann, MS, RD, LD, CSWOMCDE
• Hallie Rae Fanning, PHARM. D
• Matt Fanning, MSW, LCSW
• Carmen Fanous, MD
• Cynthia Fantini
• Faquir Muhammud, MD, Inc
• Joanna Marie Farache
• Mina Farag, MD, PHD
• Mahshid Akhavan Farahani, DDS
• Khashayar Farahnak

• Professional Counselor in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Professional Counselor in Missouri

• 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.