Stephen Boris Fesuk Jr., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

201272 Issued in TX

Practice address

100 E Avenue a
Killeen, TX 76541-4763

Phone

(254) 526-4146

Fax

(254) 526-9351

NPI assigned

Oct 22, 2008

Last updated

Oct 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Central Counties Center for Mental Health & Mental Retardation SRVS

  dba Center Counties Services

  • Family Medicine Physician
  • Temple, TX
  • NPI 1023501939
  NPD (past)

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1073765004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S 22ND ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765014726",
            "telephone_number": "254-526-4146",
            "fax_number": "254-526-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E AVENUE A",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765414763",
            "telephone_number": "254-526-4146",
            "fax_number": "254-526-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESUK",
        "first_name": "STEPHEN",
        "middle_name": "BORIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Michelle Feliciano Martinez
• Neleeam Feliciano Nolasco
• Adrian Felix
• Ana Fernandez
• Rozina J Fernandez, RBT
• Christa Fields
• Shaheda Fields
• Tamara Fields, LCSW
• Nathan Finch
• Chastity T Finley

• Marriage & Family Therapist in Killeen, TX
• Providers in Killeen, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.