Lauren Fanwick, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006296 Issued in NY

Practice address

400 Sunrise Highway
Amityville, NY 11701

Phone

(631) 608-5900

Fax

(631) 396-0382

NPI assigned

Apr 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1730576281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HIGHWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "11701",
            "telephone_number": "631-608-5900",
            "fax_number": "631-396-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HIGHWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "11701",
            "telephone_number": "631-608-5900",
            "fax_number": "631-396-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANWICK",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00274391",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faisal Rafiq, MD, PC
• Nicole Evelyn Falcone, PA-C
• Monica Falconi, R.N.
• Falcum Service Inc
• Family Medical Practice of Long Island P.C.
• Kacey Farber, LMSW
• Carolyn Jeanne Farella, LCSW
• Barbara Farrell, NP
• Cristina Farrington
• June Arlene Feinstein, N.P.

• Mental Health Counselor in Amityville, NY
• Providers in Amityville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.