Individual provider Active NPI

Joanne Madeline Fabrick, MA, LPC

  • Contractor
  • Carrollton, TX
National Provider Identifier
1902040538
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
18101 Issued in TX
Practice address
1824 Post Oak LN
Carrollton, TX 75007-5218
Phone
(214) 535-8422
NPI assigned
Apr 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 18101 TX Primary

Addresses

Primary practice location

1824 Post Oak LN
Carrollton, TX 75007-5218

Mailing address

1824 Post Oak LN
Carrollton, TX 75007-5218
Phone (214) 535-8422

Other identifiers 1

IdentifierTypeStateIssuer
18101OtherTXLICENSED PRACTICING COUNSELOR

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
18101TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1902040538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 POST OAK LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075218",
            "telephone_number": "214-535-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 POST OAK LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075218",
            "telephone_number": "214-535-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRICK",
        "first_name": "JOANNE",
        "middle_name": "MADELINE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "18101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PRACTICING COUNSELOR",
            "identifier": "18101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.