MR. JUSTIN FITTONNEVILLE MA, LPC, NCC
NPI 1609347533
Counselor - Professional in Waterford, MI

Active since December 17, 2018
4000 W WALTON BLVD STE A&B, WATERFORD, MI 48329(248) 461-6266 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2019, Dec 17, 2018 (2 updates tracked since 2018).

About Mr. Justin Fittonneville Ma, Lpc, Ncc NPPES

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

MR. JUSTIN FITTONNEVILLE MA, LPC, NCC (NPI 1609347533) is an individual professional provider in Waterford, Michigan, licensed in Michigan (6401014329) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1609347533
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JUSTIN FITTONNEVILLECredential: MA, LPC, NCC
Location Address4000 W WALTON BLVD STE A&BWaterford, MI 48329-4191
Mailing Address4000 W Walton Blvd Ste AWaterford, MI 48329-4191 · (248) 461-6266
Sole ProprietorYes
Enumeration DateDecember 17, 2018
Last NPPES UpdateAugust 8, 20192 updates tracked since enumeration
NPI 1609347533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6401014329
4000 W WALTON BLVD STE A&B, Waterford, MI 48329

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
4000 W WALTON BLVD STE A&B
WATERFORD, MI 48329

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 Justin Fittonneville's NPI number?

The NPI number for Justin Fittonneville is 1609347533. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Justin Fittonneville located?

Justin Fittonneville practices at 4000 W Walton Blvd Ste A&b, Waterford, MI 48329. The listed phone number is (248) 461-6266.

What is Justin Fittonneville's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Justin Fittonneville was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.