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: August 09, 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
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

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.

Internal Medicine
12125 WOODCREST EXECUTIVE DR, SUITE 220
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12125 WOODCREST EXECUTIVE DR, SUITE 110
SAINT LOUIS, MO 63141
Internal Medicine
12125 WOODCREST EXECUTIVE DR, SUITE 220
SAINT LOUIS, MO 63141
Internal Medicine
12125 WOODCREST EXECUTIVE DR, 220
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12125 WOODCREST EXECUTIVE DR, SUITE 110
SAINT LOUIS, MO 63141
Counselor
12125 WOODCREST EXECUTIVE DR, SUITE 110
SAINT LOUIS, MO 63141
Psychologist (Counseling)
12125 WOODCREST EXECUTIVE DR
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12125 WOODCREST EXECUTIVE DR
SAINT LOUIS, MO 63141

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 Fagan's NPI number?

The NPI number for Susan Fagan is 1043468556. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Where is Susan Fagan located?

Susan Fagan practices at 12125 Woodcrest Executive Dr Suite 110, Saint Louis, MO 63141. The listed phone number is (314) 275-8599.

What is Susan Fagan's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Fagan was last updated on October 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.