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KATHERINE ANN FANTA LPC
NPI 1073360012
Counselor - Professional in Cleveland, OH

Active since May 06, 2024
3622 PROSPECT AVE E, CLEVELAND, OH 44115(216) 431-4600 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2026, May 8, 2024 (2 updates tracked since 2024).

About Katherine Ann Fanta Lpc NPPES

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

KATHERINE ANN FANTA LPC (NPI 1073360012) is an individual professional provider in Cleveland, Ohio, licensed in Ohio (C.2507117) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1073360012
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHERINE ANN FANTACredential: LPC
Location Address3622 PROSPECT AVE ECleveland, OH 44115-2704
Mailing Address16205 Southland AveCleveland, OH 44111-2951 · (216) 334-8832
Phone(216) 431-4600
Sole ProprietorYes
Enumeration DateMay 6, 2024
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1073360012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C.2507117
3622 PROSPECT AVE E, Cleveland, OH 44115
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Other Providers at the Same Location NPPES 20

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

MR. RYAN C MOORE SR.
Case Manager/Care Coordinator
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MRS. ANTOINETTE MARLENE WHITT
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MADISON BREWER
Counselor (Professional)
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
DARLA MICHELE CHARACTER-JOHNSON CDCA
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
PETER GABRIEL INOSHITA
Specialist/Technologist, Health Information (Registered Record Administrator)
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
MRS. PAULA HUNT CDCA
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
REBECCA THWING
Student in an Organized Health Care Education/Training Program
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600
LECRETIA BOLDEN
Counselor (Addiction (Substance Use Disorder))
3622 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 431-4600

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 Katherine Fanta's NPI number?

The NPI number for Katherine Fanta is 1073360012. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Katherine Fanta located?

Katherine Fanta practices at 3622 Prospect Ave E, Cleveland, OH 44115. The listed phone number is (216) 431-4600.

What is Katherine Fanta's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Katherine Fanta was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.