Richard William Faver, MA, L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 3436 Issued in MN

Practice address

522 Beltrami Ave NW Ste 17
Bemidji, MN 56601-3182

Phone

(218) 407-2595

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Assessment & Counseling Associates LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bemidji, MN
  • NPI 1164286415
  Medicare reassignment NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1346346806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 MARCELLA DR NE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566017030",
            "telephone_number": "218-586-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 BELTRAMI AVE NW STE 17",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013182",
            "telephone_number": "218-407-2595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9640 Marcella Dr NE",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566017030",
            "country_code": "US",
            "telephone_number": "218-407-2595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Santa Florence Rd",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883109467",
            "country_code": "US",
            "telephone_number": "218-586-2876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAVER",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "credential": "MA, L.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 3436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "43B77FA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283522300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fargo Vamc
• Lisa Fast
• Joshua James Faucher, M.D.
• David Faugno-Fusci, MD
• Kathryn Jane Faver, LICSW
• Matthew Feddema
• Michael David Feil, DDS
• Patricia Winslow Feil, DDS
• Alexander Charles Fenson, OD
• Marvin R Fetter, MD

• Clinical Psychologist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.