STEPHANIE FAGUNDES - NPI 1265896781 - Counselor in San Francisco, CA

Q: What is Stephanie Fagundes's NPI number?

The NPI number for Stephanie Fagundes is 1265896781. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Q: What is Stephanie Fagundes's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

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About Stephanie Fagundes NPPES

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

STEPHANIE FAGUNDES (NPI 1265896781) is an individual counselor in San Francisco, California and active in the NPI registry since April 2016. She maintains a secondary practice location in Norwalk.

NPPES Registry Identity

NPI1265896781

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSTEPHANIE FAGUNDES

Location Address982 MISSION ST FL 2San Francisco, CA 94103-2911

Mailing Address12440 Firestone Blvd, Suite 3020Norwalk, CA 90650-4328 · (562) 864-7821 · Fax (562) 864-7864

Phone(415) 597-8000

Sole ProprietorYes

Enumeration DateApril 11, 2016

Last NPPES UpdateJuly 6, 20212 updates tracked since enumeration

NPPES CertifiedJuly 6, 2021

✔ NPI 1265896781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedLicensed Psychiatric TechnicianTaxonomy 167G00000X · License PT38331 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

982 MISSION ST FL 2, San Francisco, CA 94103

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Secondary Practice Location 1

Location 112440 Firestone Blvd, suite 3020Norwalk, CA 90650-4328 · Phone (562) 864-7821 ext. 179 · Fax (562) 864-7864

Other Providers at the Same Location NPPES 16

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

MRS. APRIL TANESHA SUMMERS-LAXA

Counselor (Mental Health)