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MICHAEL FANNIN PERSP
NPI 1174490395
Peer Specialist in Prestonsburg, KY

Active since October 22, 2025
104 S FRONT AVE, PRESTONSBURG, KY 41653(606) 886-8572(606) 886-4433 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michael Fannin Persp NPPES

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

MICHAEL FANNIN PERSP (NPI 1174490395) is an individual peer specialist in Prestonsburg, Kentucky and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1174490395
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMICHAEL FANNINCredential: PERSP
Location Address104 S FRONT AVEPrestonsburg, KY 41653-1614
Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433
Phone(606) 886-8572
Fax(606) 886-4433
Sole ProprietorNo
Enumeration DateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1174490395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
104 S FRONT AVE, Prestonsburg, KY 41653
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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.

PETER SMITHWICK OLIVER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
PHILLIP CAUDILL
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
RACHAEL WILLOUGHBY
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
BRITTANY SANDERS
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
DONNA CRIDER
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
ANDREA HURLEY
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
AMY KNOTT
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
CHELSEA GOBLE
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572

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 Michael Fannin's NPI number?

The NPI number for Michael Fannin is 1174490395. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Michael Fannin located?

Michael Fannin practices at 104 S Front Ave, Prestonsburg, KY 41653. The listed phone number is (606) 886-8572.

What is Michael Fannin's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Michael Fannin was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.