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MRS. SUSAN MARIE FAGAN L.P.C., R.N.
NPI 1043468556
Counselor - Mental Health in Saint Louis, MO

Active since September 09, 2008
12125 WOODCREST EXECUTIVE DR, SUITE 110, SAINT LOUIS, MO 63141(314) 275-8599 Get Directions Write a Review

NPPES record last updated: October 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Susan Marie Fagan L.p.c., R.n. NPPES

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

MRS. SUSAN MARIE FAGAN L.P.C., R.N. (NPI 1043468556) is an individual mental health provider in Saint Louis, Missouri, licensed in Missouri (2004032923) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1043468556
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SUSAN MARIE FAGANCredential: L.P.C., R.N.
Location Address12125 WOODCREST EXECUTIVE DR, SUITE 110Saint Louis, MO 63141-5001
Mailing Address10820 Sunset Office Dr, Suite 122Saint Louis, MO 63127-1016 · (314) 954-6553
Phone(314) 275-8599
Sole ProprietorYes
Enumeration DateSeptember 9, 2008
Last NPPES UpdateOctober 20, 2008
✔ NPI 1043468556 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 MO · 2004032923
12125 WOODCREST EXECUTIVE DR, Saint Louis, MO 63141
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Other Providers at the Same Location NPPES 10

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

MARY FITZGIBBONS PH.D
Psychologist (Counseling)
12125 WOODCREST EXECUTIVE DR
SAINT LOUIS, MO 63141
St. Louis County (314) 275-8599
INPATIENT CONSULTANTS OF MISSOURI INC
Internal Medicine
12125 WOODCREST EXECUTIVE DR, SUITE 220
SAINT LOUIS, MO 63141
St. Louis County (314) 317-0600
AMY KELLY NEU LCSW
Social Worker (Clinical)
12125 WOODCREST EXECUTIVE DR, SUITE 110
SAINT LOUIS, MO 63141
St. Louis County (314) 275-8599
MS. AMY VANESSA MAUS LCSW
Social Worker (Clinical)
12125 WOODCREST EXECUTIVE DR
SAINT LOUIS, MO 63141
St. Louis County (314) 275-8599
FITZGIBBONS PSYCHOLOGICAL WEST COUNTY PSYCHOLOGICAL ASSOCIATES
Psychologist
12125 WOODCREST EXECUTIVE DR
SAINT LOUIS, MO 63141
St. Louis County (314) 275-8599
MRS. KATHLEEN TAGGART MSW, LCSW
Social Worker (Clinical)
12125 WOODCREST EXECUTIVE DR, SUITE 110
SAINT LOUIS, MO 63141
St. Louis County (314) 275-8599
MR. ANTHONY MICHAEL TRAMELLI
Counselor
12125 WOODCREST EXECUTIVE DR, SUITE 110
SAINT LOUIS, MO 63141
St. Louis County (314) 275-8599
INPATIENT CONSULTANTS OF ILLINOIS, P.C.
Internal Medicine
12125 WOODCREST EXECUTIVE DR, SUITE 220
SAINT LOUIS, MO 63141
St. Louis County (314) 317-0600

Frequently Asked Questions

What is Susan Fagan's NPI number?

The NPI number assigned to this healthcare provider is 1043468556, enumerated as an "individual" on September 09, 2008.

Where is the provider located?

The provider is located at 12125 WOODCREST EXECUTIVE DR SUITE 110 SAINT LOUIS, MO 63141 and the phone number is (314) 275-8599.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.