ANNA FASANO
NPI 1124654785
Counselor - Mental Health in Los Angeles, CA

Active since March 16, 2020
3615 3/4 BELLEVUE AVE, LOS ANGELES, CA 90026(732) 404-7963 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2023, Sep 8, 2021, Mar 16, 2020 (3 updates tracked since 2020).

About Anna Fasano NPPES

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

ANNA FASANO (NPI 1124654785) is an individual mental health provider in Los Angeles, California, licensed in Washington (LH61453581) and active in the NPI registry since March 2020. She maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1124654785
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANNA FASANO
Location Address3615 3/4 BELLEVUE AVELos Angeles, CA 90026-7502
Mailing Address3615 3/4 Bellevue AveLos Angeles, CA 90026-7502 · (732) 404-7963
Sole ProprietorNo
Enumeration DateMarch 16, 2020
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
NPI 1124654785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in WA · LH61453581 Licensed in WA · 61453581
3615 3/4 BELLEVUE AVE, Los Angeles, CA 90026

Secondary Practice Location 1

Location 12600 SW Holden StSeattle, WA 98126-3505 · Phone (732) 404-7963

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 Anna Fasano's NPI number?

The NPI number for Anna Fasano is 1124654785. It was assigned to this individual provider in the NPPES registry on March 16, 2020.

Where is Anna Fasano located?

Anna Fasano practices at 3615 3/4 Bellevue Ave, Los Angeles, CA 90026. The listed phone number is (732) 404-7963.

What is Anna Fasano'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 Anna Fasano was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.