Charles Joseph Fechtel III, LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

91794 Issued in TX

Practice address

2413 Greenlawn Pkwy
Austin, TX 78757-2126

Phone

(512) 472-7878

NPI assigned

Jan 14, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Joey Fechtel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Austin Center for Grief and Loss

  • Professional Counselor
  • Austin, TX
  • NPI 1952738486
  NPD

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1508677162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4159 STECK AVE UNIT 132",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598515",
            "telephone_number": "214-543-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 GREENLAWN PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787572126",
            "telephone_number": "512-472-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECHTEL",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "91794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOEY",
            "last_name": "FECHTEL",
            "credential": "LPC-A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ashton Federico, DO
• Fedesna Chiropractic

• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.