Gary A Fau, MA LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37PC00060900 Issued in NJ

Practice address

832 Brunswick Avenue
Bermingham Clinic
Trenton, NJ 08638-3829

Phone

(609) 396-8877

Fax

(609) 396-6024

NPI assigned

May 29, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Greater Trenton Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Trenton, NJ
  • NPI 1699958504
  NPD (past)
• Greater Trenton CMHC Inc.

  • Community/Behavioral Health Agency
  • Trenton, NJ
  • NPI 1336217421
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1295993053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SPRUCE STREET SUITE 205",
            "address_2": "GREATER TRENTON BEHAVIORAL HEALTHCARE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086383957",
            "telephone_number": "609-396-6788",
            "fax_number": "609-989-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 BRUNSWICK AVENUE",
            "address_2": "BERMINGHAM CLINIC",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086383829",
            "telephone_number": "609-396-8877",
            "fax_number": "609-396-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAU",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00060900",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00060900",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00060900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Guidance Center Corporation
• Francina Anne Fantauzzo, LPC, ATR-P
• Fares Surgical Associates, PA
• Zia Umar Farooq, MD
• Tehreem Fatima
• Aisha Faulkner, LSW
• Aml Ibrahim Fawzy
• Craig A. Feder, M.D.
• Matthew G Federowicz, DC
• Tesfahunegn H Feleke

• Counselor in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Counselor in New Jersey

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