Willem H. Fahrenbruck, LPC, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILLEM H. FAHRENBRUCK, LPC, PLLC

Doing business as

Fahrenbruck Counseling

Practice address

3122 Nealy Way Ste 201
Longview, TX 75605-1092

Phone

(903) 452-8040

NPI assigned

Apr 4, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Willem H. Fahrenbruck, LPC-SNPI 1629045497

Title

Owner

Phone

(605) 440-2145

Specialties & licenses 1

Addresses

Other names 1

• Fahrenbruck Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Willem H Fahrenbruck, LCPC

  • Professional Counselor
  • Longview, TX
  • NPI 1629045497
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1043062730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 MIAMI DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013553",
            "telephone_number": "605-440-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 NEALY WAY STE 201",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051092",
            "telephone_number": "903-452-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLEM H. FAHRENBRUCK, LPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "FAHRENBRUCK",
        "authorized_official_first_name": "WILLEM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-440-2145",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fahrenbruck Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terri Mae Wilhoit, OTA
• Jeri L Wilkerson, PHARMD
• Stefanie Lynn Wilkerson, RD, CSG, LD
• David Alan Wilkinson, D.D.S.
• Stacy Leigh Wilkinson, DO
• Kourtney Marie Willett, PA-C
• Williams Pediatric Therapy, PLLC
• Joycelyn Sheri Williams Thomas, PH.D.
• Aimee Rebecca Williams-Wilbanks, SLP ASSISTANT
• Bailey Williams

• Professional Counselor in Longview, TX
• Providers in Longview, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.