Active NPI
Julia Lucille Fischetto, LMHC
- Counselor
- Lauderdale by the Sea, FL
National Provider Identifier
1649318155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH0003922
- Practice address
- 218 Commercial Blvd
Suite 210H
Lauderdale by the Sea, FL 33308 - Phone
- (954) 491-9040
- Fax
- (954) 492-0334
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH0003922 | FL | Primary |
Addresses
Primary practice location
218 Commercial Blvd
Suite 210H
Lauderdale by the Sea, FL 33308
Mailing address
5208 NE 24 Terrace
F317
Ft Lauderdale, FL 33308
Phone (954) 491-9040
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 |
|---|---|---|---|
| MH0003922 | FL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julia Fischetto, Ms,PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Lauderdale by the Sea, FL
- NPI 1427473016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649318155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5208 NE 24 TERRACE",
"address_2": "F317",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "33308",
"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",
"address_2": "SUITE 210H",
"city": "LAUDERDALE BY THE SEA",
"state": "FL",
"postal_code": "33308",
"telephone_number": "954-491-9040",
"fax_number": "954-492-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHETTO",
"first_name": "JULIA",
"middle_name": "LUCILLE",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH0003922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 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.