Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Brody Thomas Fanshaw, MS, LPC

Individual provider Mental Health Counselor · NPI 1689390981

Mr. Brody Thomas Fanshaw, MS, LPC is a Mental Health Counselor in Sun Prairie, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

121 S Bristol St Ste 102
Sun Prairie, WI 53590-2995
Phone: (608) 285-2911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7151-226 (WI)

Record details

NPI number1689390981
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LPC
Sole proprietorYes
NPI enumeratedOctober 18, 2022
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

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