Paul Farley, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401015774 Issued in MI

Practice address

600 N Broad St
Adrian, MI 49221-2132

Phone

(517) 260-9587

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Performance Counseling LLC

  • Counselor
  • Adrian, MI
  • NPI 1548984446
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063948941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 MELCOMBE CIR APT 204",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843460",
            "telephone_number": "517-260-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BROAD ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212132",
            "telephone_number": "517-260-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medical Center of Michigan,Inc
• Family Medical Center of Michigan,Inc
• Family Medical Center of Michigan,Inc
• Family Medical Center of Michigan,Inc
• Family Medical Center-Springbrook Middle School
• Kevin D Farris, LLBSW
• Katie Lynn Farrow
• Joyce Faulhaber
• Monica Lynn Faz, MONICA FAZ LLMSW
• Niki Feller, MSW

• All providers in Adrian, MI
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.