Taylor Rae Faubel, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11005-125 Issued in WI

Practice address

N64W24050 Main St Ste 100
Sussex, WI 53089-3000

Phone

(262) 490-2120

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Serenity Mental Health Services, LLC

  • Mental Health Counselor
  • Watertown, WI
  • NPI 1285290692
  NPD
• Inner Haven Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1225780422
  NPD (past)

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1518697242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N64W24050 MAIN ST STE 100",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893000",
            "telephone_number": "624-902-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N64W24050 MAIN ST STE 100",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893000",
            "telephone_number": "262-490-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUBEL",
        "first_name": "TAYLOR",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11005-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor@serenitytherapyclinic.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email  correspondence",
            "address_1": "818 West St., Suite 814",
            "city": "Watertown",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Empyrean Nurse Consulting, Inc.
• Andrea R Enters, NURSE PRACTITIONER
• Eternal Adult Family Home LLC
• Everside Health, LLC
• Naomi Lynn Eyers, M.S., CCC-SLP
• FHHP Sussex LLC
• Melissa Fleuchaus
• Kelly Flynn
• Forward Integrated Services, Inc.
• Sabrina Michelle Foulks-Thomas, RN, CPM, LM, IBCLC

• Professional Counselor in Sussex, WI
• Providers in Sussex, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.