Individual provider Active NPI

Krista Kay Faber, LLMSW

  • Social Worker
  • Mt Pleasant, MI
National Provider Identifier
1457928020
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801107685 Issued in MI
Practice address
1750 E Bellows St
Mt Pleasant, MI 48858-3872
Phone
(989) 953-5837
Fax
(989) 953-5801
NPI assigned
Jun 10, 2021
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801107685 MI Primary

Addresses

Primary practice location

1750 E Bellows St
Mt Pleasant, MI 48858-3872

Mailing address

1750 E Bellows St
Mt Pleasant, MI 48858-3872
Phone (989) 953-5837

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
6801107685MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pace Central Michigan CurrentSince Jun 15, 2021 Accepting new patients

Locations

1750 E Bellows St
Mt Pleasant, MI 48858
Phone (989) 953-5800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1457928020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E BELLOWS ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583872",
            "telephone_number": "989-953-5837",
            "fax_number": "989-953-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E BELLOWS ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583872",
            "telephone_number": "989-953-5837",
            "fax_number": "989-953-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "KRISTA",
        "middle_name": "KAY",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801107685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.