Fannin Counseling & Art Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5465-125 Issued in WI

Legal business name

FANNIN COUNSELING & ART THERAPY

Practice address

129 6TH St S
La Crosse, WI 54601-4153

Phone

(608) 385-7559

NPI assigned

Oct 24, 2017

Organization subpart

No

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

Authorized official

Name

Melissa Fannin, MA, LPC, ATRNPI 1487059440

Title

Owner/Counselor

Phone

(608) 385-7559

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Fannin, LPC

  • Professional Counselor
  • La Crosse, WI
  • NPI 1487059440
  NPD Authorized official

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1730691205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 MARKET ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015057",
            "telephone_number": "608-385-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 6TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014153",
            "telephone_number": "608-385-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIN COUNSELING & ART THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "FANNIN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "608-385-7559",
        "authorized_official_credential": "MA, LPC, ATR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5465-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100043611",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12772699",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family & Children's Center, Inc. (Family & Children's Center)
• Family Medical Supply and Cpap Store Inc
• Family Vision Center of la Crosse
• Cassandra L Fanelli
• Lori Ann Fanello, B.S.N.
• Melissa Fannin, LPC
• Harry Franklin Farb, M.D.
• Brianna Dorriss Farley, NP
• Emily Marie Farmer, AUD
• John P Farnen, MD

• Mental Health Counselor in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.