Active NPI
Gary Allen Fashimpar, PHD, LCSW,LMFT
- Clinical Social Worker
- Wichita Falls, TX
National Provider Identifier
1528138617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 281
- Practice address
- 4111 Call Field Dr
Suite 400
Wichita Falls, TX 76308 - Phone
- (940) 631-1781
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 281 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 1615 | TX |
Addresses
Primary practice location
4111 Call Field Dr
Suite 400
Wichita Falls, TX 76308
Mailing address
2510 Brook Ave
Wichita Falls, TX 76301
Phone (940) 397-4319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064009601 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1615 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422576000000",
"number": "1528138617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "76301",
"telephone_number": "940-397-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 CALL FIELD DR",
"address_2": "SUITE 400",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "76308",
"telephone_number": "940-631-1781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASHIMPAR",
"first_name": "GARY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "PHD, LCSW,LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2015-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "281",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "1615",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064009601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.