1. Home
  2. Directory
  3. California
  4. Roseville
  5. Counselor
  6. NPI Profile

MARY KATHLEEN FAHY IMFT
NPI 1114363363
Counselor - Addiction (Substance Use Disorder) in Roseville, CA

Active since May 15, 2013
1133 COLOMA WAY, ROSEVILLE, CA 95661(916) 774-6647 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Kathleen Fahy Imft NPPES

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

MARY KATHLEEN FAHY IMFT (NPI 1114363363) is an individual addiction (substance use disorder) provider in Roseville, California and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1114363363
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY KATHLEEN FAHYCredential: IMFT
Location Address1133 COLOMA WAYRoseville, CA 95661-4480
Mailing Address10066 Winkle CirElk Grove, CA 95757-6275 · (203) 767-5543
Phone(916) 774-6647
Sole ProprietorNo
Enumeration DateMay 15, 2013
✔ NPI 1114363363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1133 COLOMA WAY, Roseville, CA 95661
Open in Google Maps ↗

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.

MANOUELA KRASTEVA DIMOVA
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 774-6647
MR. ROMAN NASERI I RADT
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 798-5485
MS. ALORALYN ROMINQUE AYRAN
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY, #C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
ANDREA MICHELLE FERRIE
Counselor (Mental Health)
1133 COLOMA WAY, SUITE A
ROSEVILLE, CA 95661
Placer County (916) 786-3750
MIRANDA LELA LOW CADC I
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 774-6647
SHARENE ARSHADI
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 774-6647
MR. DAVID MICHAEL BETTENCOURT
Counselor (Mental Health)
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 452-3981
JENNIFER FRANCISCO
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Placer County (916) 774-6647

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 Mary Fahy's NPI number?

The NPI number for Mary Fahy is 1114363363. It was assigned to this individual provider in the NPPES registry on May 15, 2013.

Where is Mary Fahy located?

Mary Fahy practices at 1133 Coloma Way, Roseville, CA 95661. The listed phone number is (916) 774-6647.

What is Mary Fahy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Fahy was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.