MIRA ANN FANNING MA, LPCC, MFTC - NPI 1215636147

Q: What is Mira Ann Fanning's NPI number?

The NPI number for Mira Ann Fanning is 1215636147. It was assigned to this individual provider in the NPPES registry on February 28, 2023. The provider is also known as Mira Ann Roberts.

Q: What is Mira Ann Fanning'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 Mira Ann Fanning was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

On this page

About Mira Ann Fanning Ma, Lpcc, Mftc NPPES

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

MIRA ANN FANNING MA, LPCC, MFTC (NPI 1215636147) is an individual mental health provider in Centennial, Colorado, licensed in Colorado (LPCC.0020398) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1215636147

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMIRA ANN FANNINGCredential: MA, LPCC, MFTC

Location Address6087 S QUEBEC ST STE 102Centennial, CO 80111-4539

Mailing Address5687 S King StLittleton, CO 80123-2826 · (949) 439-8836

Phone(303) 835-6992

Sole ProprietorNo

Enumeration DateFebruary 28, 2023

NPPES CertifiedFebruary 27, 2023

✔ NPI 1215636147 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 CO · LPCC.0020398

6087 S QUEBEC ST STE 102, Centennial, CO 80111

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Other Names 1

Former Name (1)Mira Ann Roberts

Other Providers at the Same Location NPPES 4

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

CARRINGTON SCHULTZ

Social Worker (School)

6087 S QUEBEC ST STE 102
CENTENNIAL, CO 80111

Arapahoe County (303) 817-3250

ADRIENNE E AVERY MA, LPC, RPT

Counselor (Mental Health)

6087 S QUEBEC ST STE 102
CENTENNIAL, CO 80111

Arapahoe County (720) 772-1421

MARY ELLEN BENZ LPC

Counselor (Professional)

6087 S QUEBEC ST STE 102
CENTENNIAL, CO 80111

Arapahoe County (303) 835-6992

CHILD AND ADOLESCENT COUNSELING OF DENVER PLLC

Counselor (Professional)

6087 S QUEBEC ST STE 102
CENTENNIAL, CO 80111

Arapahoe County (303) 835-6992

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 Mira Ann Fanning's NPI number?

The NPI number for Mira Ann Fanning is 1215636147. It was assigned to this individual provider in the NPPES registry on February 28, 2023. The provider is also known as Mira Ann Roberts.

Where is Mira Ann Fanning located?

Mira Ann Fanning practices at 6087 S Quebec St Ste 102, Centennial, CO 80111. The listed phone number is (303) 835-6992.

What is Mira Ann Fanning'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 Mira Ann Fanning was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.