Individual provider Active NPI

Marie L. Fahringer, MA, LMHC

  • Mental Health Counselor
  • Brandon, FL
National Provider Identifier
1255696571
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13259 Issued in FL
Practice address
1210 Millennium Center Parkway
Suite 1016
Brandon, FL 33511-4896
Phone
(813) 494-0656
Fax
(813) 677-3060
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH13259 FL Primary

Addresses

Primary practice location

1210 Millennium Center Parkway
Suite 1016
Brandon, FL 33511-4896

Mailing address

1210 Millennium Pkwy
Suite 1016
Brandon, FL 33511-4896
Phone (813) 494-0656

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

State licenses

LicenseStateTypeSpecialty
MH13259FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marie L Fahringer, Ma, LMHC CurrentSince Jul 24, 2022 Accepting new patients

Locations

1210 Millennium Pkwy
Ste 1016
Brandon, FL 33511
Phone (813) 494-0656

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1255696571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MILLENNIUM PKWY",
            "address_2": "SUITE 1016",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114896",
            "telephone_number": "813-494-0656",
            "fax_number": "813-677-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 MILLENNIUM CENTER PARKWAY",
            "address_2": "SUITE 1016",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114896",
            "telephone_number": "813-494-0656",
            "fax_number": "813-677-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHRINGER",
        "first_name": "MARIE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.