MELISSA FANNIN LPCC NPI 1013120054

NPI Information

NPI: 1013120054
Provider Name: MELISSA FANNIN, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3701 LANSDOWNE DR
ASHLAND, KY
ZIP 41102
Phone: (606) 324-3005
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Melissa Fannin, LPCC is a professional counselor in Ashland, KY. Melissa Fannin, LPCC NPI is 1013120054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3701 LANSDOWNE DR
ASHLAND, KY
ZIP 41102
Phone: (606) 324-3005
Fax: (606) 329-1530

The enumeration date for this NPI number is 5/7/2007 and was last updated on 2/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	103173	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000532644	OTHER		ANTHEM BCBS (NON PAR)
2	12656765	OTHER		CAQH
3	000000532644	OTHER		ANTHEM BCBS
4	7100280950	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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