Organization Active NPI

Marie L Fahringer, Ma, LMHC

  • Adult Mental Health Clinic/Center
  • Brandon, FL
National Provider Identifier
1417474735
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MH13259 Issued in FL
Legal business name
MARIE L FAHRINGER, MA, LMHC
Practice address
1210 Millennium Pkwy Ste 1016
Brandon, FL 33511-4558
Phone
(813) 494-0656
Fax
(813) 677-3060
NPI assigned
Aug 28, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Marie Lucille Fahringer, MA, LMHCNPI 1255696571
Title
Licensed Mental Health Counselor
Phone
(813) 494-0656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MH13259 FL Primary

Addresses

Primary practice location

1210 Millennium Pkwy Ste 1016
Brandon, FL 33511-4558

Mailing address

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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417474735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MILLENNIUM CENTER",
            "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 PKWY STE 1016",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114558",
            "telephone_number": "813-494-0656",
            "fax_number": "813-677-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE L FAHRINGER, MA, LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FAHRINGER",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "LUCILLE",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "813-494-0656",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult 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 Jul 21, 2022; 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.