Phyllis Laura Fagell, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC4921 Issued in MD

Practice address

5272 River Rd Ste 510
Bethesda, MD 20816-1457

Phone

(301) 213-3997

NPI assigned

Sep 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1992425516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 THOREAU DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173162",
            "telephone_number": "301-213-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5272 RIVER RD STE 510",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208161457",
            "telephone_number": "301-213-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGELL",
        "first_name": "PHYLLIS",
        "middle_name": "LAURA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phyllis@thechrysalisgroupinc.com",
            "affiliation": "N",
            "address_1": "5272 River Rd Ste 510",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208161457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Fabiszewski, LMSW
• Fabricant Counseling, LLC
• Andrew Fabricant
• Kimberly Fabyan, M.D.
• Lynne L Fagan, MD
• Raha Ida Fahimi, O.D.
• Michael William Fahlgren, M.D.
• Laura Failla, FNP-C
• Lauren Fain, RN, BSN, IBCLC
• David Nathaniel Fairbanks, M.D.

• Mental Health Counselor in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.