SUSAN MARY FASANO MFT
NPI 1023175916
Counselor - Mental Health in Gold River, CA

Q: What is Susan Fasano's NPI number?

The NPI number for Susan Fasano is 1023175916. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Q: What is Susan Fasano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Susan Fasano was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 02, 2007PECOS Enrolled

11344 COLOMA RD STE 560, GOLD RIVER, CA 95670(916) 738-1504 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susan Mary Fasano Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN MARY FASANO MFT (NPI 1023175916) is an individual mental health provider in Gold River, California, licensed in California (MFC 15256) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023175916

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSUSAN MARY FASANOCredential: MFT

Location Address11344 COLOMA RD STE 560Gold River, CA 95670-6304

Mailing Address11344 Coloma Rd Ste 560Gold River, CA 95670-6304 · (916) 661-8567

Phone(916) 738-1504

Sole ProprietorYes

Enumeration DateJanuary 2, 2007

Last NPPES UpdateApril 4, 2022

NPPES CertifiedApril 4, 2022

✔ NPI 1023175916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · MFC 15256

11344 COLOMA RD STE 560, Gold River, CA 95670

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Mary Fasano Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOANNA KWAN MA, LPCC, NCC

Counselor (Mental Health)

11344 COLOMA RD STE 560
GOLD RIVER, CA 95670

Sacramento County (916) 287-3604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Fasano's NPI number?

The NPI number for Susan Fasano is 1023175916. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Susan Fasano located?

Susan Fasano practices at 11344 Coloma Rd Ste 560, Gold River, CA 95670. The listed phone number is (916) 738-1504.

What is Susan Fasano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Susan Fasano enrolled in Medicare?

Yes. Susan Fasano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Fasano was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.