Individual provider Active NPI

Tyson F Faumui, LCSW

  • Clinical Social Worker
  • Orem, UT
National Provider Identifier
1457915688
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9163814-3501 Issued in UT
Practice address
205 W 520 N
Orem, UT 84057-4696
Phone
(435) 851-5296
NPI assigned
Apr 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 9163814-3501 UT Primary

Addresses

Primary practice location

205 W 520 N
Orem, UT 84057-4696

Mailing address

PO Box 51078
Provo, UT 84605-1078
Phone (435) 851-5296

Other practice location 1

944 N Main Street
Nephi, UT 84648-1004
Phone (435) 283-8400

Other practice location 2

45 E 700 S
Ephraim, UT 84627
Phone (435) 283-4690

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

State licenses

LicenseStateTypeSpecialty
9163814-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Faumui Counseling LLC Clinical CurrentSince Dec 18, 2022 Accepting new patients
Central Utah Counseling Center PastSince Nov 1, 2019 Accepting new patients

Locations

205 W 520 N
Orem, UT 84057
Phone (385) 330-0161

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1457915688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51078",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846051078",
            "telephone_number": "435-851-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 520 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574696",
            "telephone_number": "435-851-5296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "944 N Main Street",
            "address_purpose": "LOCATION",
            "city": "Nephi",
            "state": "UT",
            "postal_code": "846481004",
            "country_code": "US",
            "telephone_number": "435-283-8400",
            "fax_number": "435-283-8401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 E 700 S",
            "address_purpose": "LOCATION",
            "city": "Ephraim",
            "state": "UT",
            "postal_code": "84627",
            "country_code": "US",
            "telephone_number": "435-283-4690",
            "fax_number": "435-283-4689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUMUI",
        "first_name": "TYSON",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9163814-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.