Active NPI
Esker Jay Farris III, MA, MS
- Professional Counselor
- Warrenton, VA
National Provider Identifier
1013242114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC4571
- Practice address
- 92 Main St Ste 202-5
Warrenton, VA 20186-3366 - Phone
- (301) 802-6942
- NPI assigned
- Oct 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701006171 | VA | |
| Professional Counselor | 101YP2500X | LC4571 | MD | Primary |
Addresses
Primary practice location
92 Main St Ste 202-5
Warrenton, VA 20186-3366
Mailing address
3069 Joy CT
Warrenton, VA 20187-2454
Phone (301) 802-6942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4571 | MD | MD | Professional Counselor |
| 0701006171 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1013242114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3069 JOY CT",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201872454",
"telephone_number": "301-802-6942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 MAIN ST STE 202-5",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201863366",
"telephone_number": "301-802-6942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRIS",
"first_name": "ESKER",
"middle_name": "JAY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MA, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-07",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701006171",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.