Active NPI
Patricia Fahmy
- Mental Health Counselor
- Encinitas, CA
National Provider Identifier
1972197283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11641
- Practice address
- 123 Jupiter St
Apt 19
Encinitas, CA 92024 - Phone
- (760) 274-6893
- NPI assigned
- Feb 26, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11641 | CA | Primary |
Addresses
Primary practice location
123 Jupiter St
Apt 19
Encinitas, CA 92024
Mailing address
315 S Coast Hwy 101 Ste U #223
Encinitas, CA 92024
Phone (760) 274-6893
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1972197283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S COAST HWY 101 STE U #223",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "92024",
"telephone_number": "760-274-6893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 JUPITER ST",
"address_2": "APT 19",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "92024",
"telephone_number": "760-274-6893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHMY",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-26",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "11641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.