MICHAEL FANJOY (LPC, CAADC, CCS) – Professional Counselor, NPI 1649572264
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,541 MENTAL HEALTH COUNSELOR in PA
Provider Addresses for MICHAEL FANJOY (LPC, CAADC, CCS)
1440 RUSSELL RD
PAOLI, PA 193011236
Phone: (610) 644-6464
Fax: (610) 644-4066
Type: Mailing
525 W CHESTER PIKE
FALCON CENTER SUITE 205
HAVERTOWN, PA 190834500
Phone: (610) 644-6464
Fax: (610) 446-2722
Type: Location
4600 E HARRISBURG PIKE
ELIZABETHTOWN, PA 170229004
Phone: (717) 933-2805
Type: Location
31 MEADOWLARK LN
MYERSTOWN, PA 170678804
Phone: (717) 304-9018
Type: Mailing
33 TEEN CHALLENGE RD
REHRERSBURG, PA 195505000
Phone: (717) 933-2805
Fax: (610) 644-4066
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260128002024 | I | Mental Health Counselor | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19301)
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