Individual provider Active NPI

Kevin Lee Faust, MS, LPC, NCC

  • Professional Counselor
  • Carlisle, PA
National Provider Identifier
1295340859
Registry record updated May 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012652 Issued in PA
Practice address
47 W Pomfret St
Carlisle, PA 17013-3217
Phone
(717) 258-0214
NPI assigned
Sep 10, 2020
Last updated
May 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC012652 PA Primary

Addresses

Primary practice location

47 W Pomfret St
Carlisle, PA 17013-3217

Mailing address

451 Paul Ave
Chambersburg, PA 17201-3772
Phone (717) 552-4180

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 Science

State licenses

LicenseStateTypeSpecialty
PC012652PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mock-Mays Associates Multi-Specialty CurrentSince Sep 13, 2020 Accepting new patients
KPB Wewer, LLC Multi-Specialty CurrentSince Jan 1, 2021 Accepting new patients

Locations

47 W Pomfret St
Carlisle, PA 17013
Phone (717) 258-0214

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622246400000",
    "number": "1295340859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 PAUL AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013772",
            "telephone_number": "717-552-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W POMFRET ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133217",
            "telephone_number": "717-258-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2021; 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.