Kathryn Ann Fazzalare is a Professional Counselor practicing in Mount Clemens, Michigan. The National Provider Identifier (NPI) is #1770463549, which was assigned on September 3, 2025, and the registration record was last updated on September 3, 2025. The practitioner's main practice location is at 43565 Elizabeth St, Mount Clemens, MI 48043-1001; the contact telephone number is 5863079464, and the fax number is 5863079305. The primary taxonomy of Kathryn Ann Fazzalare is Professional Counselor (101YP2500X), with specialization in Professional. Kathryn Ann Fazzalare is licensed to practice in the state of Michigan.
| NPI | 1770463549 |
| Entity Type | Individual |
| Provider Name | MRS. KATHRYN ANN FAZZALARE |
| Gender | Female |
| Credential | LPC |
| Practice Address |
43565 Elizabeth St Mount Clemens MI 48043-1001 |
| Practice Telephone | 5863079464 |
| Practice Fax Number | 5863079305 |
| Mailing Address |
43565 Elizabeth St Mount Clemens MI 48043-1001 |
| Mailing Telephone | 5863079464 |
| Mailing Fax Number | 5863079305 |
| Certification Date | 2025-09-03 |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-03 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 101YP2500X | Counselor | Professional | MI |
| Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| Classification | Counselor |
| Specialization | Professional |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Briona Floyd | 17515 W 9 Mile Rd Ste 240, Southfield, MI 48075-4423 | Professional Counselor | 2025-09-06 |
| Becoming Counseling and Consulting, LLC | 1225 Polo Run Dr, Romansville, PA 19320-4739 | Professional Counselor | 2025-09-05 |
| Desiree Monique Alvarado | 4996 La Sierra Ave # 2612, Riverside, CA 92505-2612 | Professional Counselor | 2025-09-05 |
| Leah Veazey | 1300 Rollingbrook Dr Ste 508, Baytown, TX 77521-3863 | Professional Counselor | 2025-09-05 |
| Megan Hurt | 10400 Blacklick Eastern Rd, Pickerington, OH 43147-8235 | Professional Counselor | 2025-09-05 |
| Quercus Counseling, LLC | 103 Palm Blvd Ste 2a, Isle of Palms, SC 29451-2165 | Professional Counselor | 2025-09-05 |
| Victory Solutions | 817 W Columbia St Ste 1, Somerset, KY 42501-1729 | Professional Counselor | 2025-09-05 |
| Gillie D Abdiraxman-Issa | Grace Integrated LLC, 414 Plaza Dr. Ste 301, Westmont, IL 60559-6055 | Professional Counselor | 2025-09-05 |
| Heart of Hope Counseling Services PLLC | 315 W Nolana Ave # C1-C2, Mcallen, TX 78504-2541 | Professional Counselor | 2025-09-05 |
| Binna Marie Scipilliti | 166 Main St, Matawan, NJ 07747-3104 | Professional Counselor | 2025-09-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
43565 ELIZABETH ST |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043-1001 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Taylor Amarii Johnson | 18 Market St Ste C, Mount Clemens, MI 48043 | Dentist | 2023-08-01 |
| Lisa Marie Rogers | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | Psychiatric/Mental Health Nurse Practitioner | 2023-07-05 |
| Christopher Michael Desjardins | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | Peer Specialist | 2023-06-15 |
| William G Dallas | 1000 Harrington Blvd, Mount Clemens, MI 48043 | Certified Registered Nurse Anesthetist | 2006-10-03 |
| Carrie Geluso-Henke | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | Case Manager/Care Coordinator | 2025-02-07 |
| Tifanie N Heard | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | Professional Counselor | 2025-01-17 |
| Purdy Chiropractic East | 51 Southbound Gratiot Avenue, Mt Clemens, MI 48043 | Chiropractor | 2024-12-03 |
| Root & Rise | 57 Rosebud Ln, Mount Clemens, MI 48043-1476 | Clinical Social Worker | 2025-07-24 |
| Sarah Ann Scheltema | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | Social Worker | 2018-08-30 |
| Myele Williamson | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | Adult Psychiatric/Mental Health Clinical Nurse Specialist | 2018-10-15 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kathryn Rose Grace · Kathryn Blake | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | Anesthesiology Physician | 2011-05-02 |
| Kathryn Elizabeth Elliott · Kathryn Erickson | 204 E Market St # A, Louisville, KY 40202-1218 | Clinical Social Worker | 2025-08-13 |
| Kathryn Ann Beyer · Kathryn Janikas | 46 Daggett Dr, West Springfield, MA 01089-4638 | Physician Assistant | 2017-06-18 |
| Kathryn M Hunt · Kathryn Maria Sundheim | 300 Longwood Ave, Boston, MA 02115-5724 | Pediatrics Physician | 2019-03-17 |
| Kathryn Ann Arland · Kathryn Ann Freese | 1501 Bay Ave Ste 102, Ocean Park, WA 98640-4203 | Mental Health Counselor | 2025-02-24 |
| Kathryn Douglass · Kathryn Sicking | 10 John Kissinger Dr, Wabash, IN 46992-1648 | Emergency Registered Nurse | 2025-03-05 |
| Kathryn Marie Gilson · Kathryn Peterson | 166 Geary St., Ste 1500 #2152, San Francisco, CA 94108-5628 | Lactation Consultant (Non-RN) | 2018-01-26 |
| Kathryn Patricia Kaufman · Kathryn Silberstein | 1421 4th St Sw, Mason City, IA 50401-2736 | Physician Assistant | 2021-03-27 |
| Kathryn D Bertany · Kathryn Irene Beattie | 915 Highland Blvd, Bozeman, MT 59715-6902 | Pediatrics Physician | 2009-05-04 |
| Kathryn Denise Boomer · Kathryn D Bender | 600 Highland Ave, Madison, WI 53792-0001 | Medical Physician Assistant | 2018-09-27 |
Do you have more infomration about Kathryn Ann Fazzalare? Please fill in the following form.
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |