JULIE ELAINE FANN MED, LCMHC, NCC
NPI 1407334634
Counselor - Mental Health in Cary, NC

Q: What is Julie Fann's NPI number?

The NPI number for Julie Fann is 1407334634. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Q: What is Julie Fann's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Julie Fann enrolled in Medicare?

No. Julie Fann has opted out of Medicare through April 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Julie Fann was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 31, 2018Opted out of Medicare · through Apr 16, 2028

113 EDINBURGH SOUTH DR STE 130, CARY, NC 27511(919) 670-2247(919) 462-0433 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2021, Jul 31, 2018 (2 updates tracked since 2018).

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About Julie Elaine Fann Med, Lcmhc, Ncc NPPES

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

JULIE ELAINE FANN MED, LCMHC, NCC (NPI 1407334634) is an individual mental health provider in Cary, North Carolina, licensed in North Carolina (14088) and active in the NPI registry since July 2018. She has opted out of Medicare through April 16, 2028.

NPPES Registry Identity

NPI1407334634

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJULIE ELAINE FANNCredential: MED, LCMHC, NCC

Location Address113 EDINBURGH SOUTH DR STE 130Cary, NC 27511-6456

Mailing Address2107 W Knox StDurham, NC 27705-4130 · (919) 670-2247 · Fax (919) 462-0433

Phone(919) 670-2247

Fax(919) 462-0433

Sole ProprietorYes

Enumeration DateJuly 31, 2018

Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration

NPPES CertifiedMarch 17, 2021

✔ NPI 1407334634 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

License✔ Licensed in NC · 14088

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License A14088 (NC), 14088 (NC)

113 EDINBURGH SOUTH DR STE 130, Cary, NC 27511

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Julie Elaine Fann Med, Lcmhc, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 16, 2024 through April 16, 2028.

Opt-Out Effective DateApril 16, 2024

Opt-Out In Effect ThroughApril 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

SHELLY LYNN SLONECKER MSW, LCSWA

Social Worker (Clinical)