Individual provider Active NPI

Marcie D Faust, LPC, NBCC

  • Professional Counselor
  • Wellington, KS
National Provider Identifier
1447686126
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2510 Issued in KS
Practice address
1015 Myles CT
Wellington, KS 67152-7803
Phone
(316) 304-7991
Fax
(316) 733-3648
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2510 KS
Professional Counselor 101YP2500X 2510 KS Primary
School Counselor 101YS0200X 2510 KS

Addresses

Primary practice location

1015 Myles CT
Wellington, KS 67152-7803

Mailing address

1015 Myles CT
Wellington, KS 67152-7803
Phone (316) 304-7991

Other identifiers 1

IdentifierTypeStateIssuer
12599684OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1635 N Waterfront Pkwy
Suite 135
Wichita, KS 67206-6624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2510KSMDCounselor
2541KSMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1447686126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MYLES CT",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671527803",
            "telephone_number": "316-304-7991",
            "fax_number": "316-733-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MYLES CT",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671527803",
            "telephone_number": "316-304-7991",
            "fax_number": "316-733-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "MARCIE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LPC, NBCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": "2510",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2510",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "KS",
            "license": "2510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "12599684",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, KS

Sources for this page

Verify at the official NPI Registry.