Christian Fauerso

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CHRISTIAN FAUERSO

Practice address

2493 State St
Salem, OR 97301-4543

Phone

(503) 610-5756

Fax

(971) 239-4273

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Christian P Fauerso, LPC

Title

Owner

Phone

(503) 610-5756

Specialties & licenses 1

Addresses

Other names 1

• Praxis Counseling Doing business as

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1124625561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2493 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014543",
            "telephone_number": "503-610-5756",
            "fax_number": "971-239-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2493 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014543",
            "telephone_number": "503-610-5756",
            "fax_number": "971-239-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN FAUERSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "FAUERSO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-610-5756",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Praxis Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holli J Christensen, AUD
• Kaleb Christensen
• Sadie Kay Christensen
• Christian Community Placement Center
• Christian Community Placement Center
• Kevin Roy Christiansen, D.D.S.
• Charlotte Renae Christie
• Christina L Zampich a Professional Psych Corp
• Janice Sue Christodoulou, CADCII
• Christopher T Stevenson

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.