CARLISSA APRIL FENNELL LPC
NPI 1053115485
Counselor - Mental Health in Richmond, VA

Q: What is Carlissa Fennell's NPI number?

The NPI number for Carlissa Fennell is 1053115485. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Q: What is Carlissa Fennell'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 Carlissa Fennell was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 April 03, 2025

PO BOX 34, RICHMOND, VA 23218(336) 682-0041 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carlissa April Fennell Lpc NPPES

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

CARLISSA APRIL FENNELL LPC (NPI 1053115485) is an individual mental health provider in Richmond, Virginia, licensed in Virginia (0704015091) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1053115485

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCARLISSA APRIL FENNELLCredential: LPC

Location AddressPO BOX 34Richmond, VA 23218-0034

Mailing AddressPo Box 34Richmond, VA 23218-0034 · (336) 692-0041

Phone(336) 682-0041

Sole ProprietorNo

Enumeration DateApril 3, 2025

NPPES CertifiedApril 3, 2025

✔ NPI 1053115485 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 VA · 0704015091

PO BOX 34, Richmond, VA 23218

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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 Carlissa Fennell's NPI number?

The NPI number for Carlissa Fennell is 1053115485. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Carlissa Fennell located?

Carlissa Fennell practices at PO Box 34, Richmond, VA 23218. The listed phone number is (336) 682-0041.

What is Carlissa Fennell'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 Carlissa Fennell was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.