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MR. BRODY THOMAS FANSHAW MS, LPC
NPI 1689390981
Counselor - Mental Health in Sun Prairie, WI

Active since October 18, 2022PECOS Enrolled
121 S BRISTOL ST STE 102, SUN PRAIRIE, WI 53590(608) 285-2911 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Oct 18, 2022 (2 updates tracked since 2022).

About Mr. Brody Thomas Fanshaw Ms, Lpc NPPES

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

MR. BRODY THOMAS FANSHAW MS, LPC (NPI 1689390981) is an individual mental health provider in Sun Prairie, Wisconsin, licensed in Wisconsin (7151-226) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689390981
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BRODY THOMAS FANSHAWCredential: MS, LPC
Location Address121 S BRISTOL ST STE 102Sun Prairie, WI 53590-2995
Mailing Address6408 Bridge Rd Apt 245Monona, WI 53713-1832 · (608) 285-2911
Phone(608) 285-2911
Sole ProprietorYes
Enumeration DateOctober 18, 2022
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1689390981 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 WI · 7151-226
121 S BRISTOL ST STE 102, Sun Prairie, WI 53590
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brody Thomas Fanshaw Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Brody Fanshaw's NPI number?

The NPI number for Brody Fanshaw is 1689390981. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Brody Fanshaw located?

Brody Fanshaw practices at 121 S Bristol St Ste 102, Sun Prairie, WI 53590. The listed phone number is (608) 285-2911.

What is Brody Fanshaw's specialty?

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

Is Brody Fanshaw enrolled in Medicare?

Yes. Brody Fanshaw is registered in the Medicare PECOS enrollment system.

What insurance does Brody Fanshaw accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Brody Fanshaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brody Fanshaw was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.