Faucette Child and Family Counseling, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I0900303S Issued in OH

Legal business name

FAUCETTE CHILD AND FAMILY COUNSELING, INC.

Practice address

1350 5TH Ave Ste 320
Youngstown, OH 44504-1765

Phone

(330) 542-6573

Fax

(202) 970-5606

NPI assigned

Mar 28, 2016

Organization subpart

No

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

Authorized official

Name

Carolyn Faucette, LISW-SNPI 1316247232

Title

Psychotherapist, Counselor

Phone

(330) 542-6573

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Faucette Child and Family Counseling Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Faucette Child & Family Counseling

  • Community/Behavioral Health Agency
  • Youngstown, OH
  • NPI 1639594195
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Faucette, LISW

  • Clinical Social Worker
  • Youngstown, OH
  • NPI 1316247232

  Mental Health

  Medicare reassignment NPD Authorized official
• Paulette Brown, LISW-S

  • Clinical Social Worker
  • Youngstown, OH
  • NPI 1821408915
  Medicare reassignment NPD

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1629430764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 5TH AVE STE 320",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041765",
            "telephone_number": "330-542-6573",
            "fax_number": "202-970-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 5TH AVE STE 320",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041765",
            "telephone_number": "330-542-6573",
            "fax_number": "202-970-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUCETTE CHILD AND FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "FAUCETTE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST, COUNSELOR",
        "authorized_official_telephone_number": "330-542-6573",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I0900303S",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "I0900303S",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1316247232",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Farrell, RN
• Victoria Fasick, D.O
• Nazeefa Fatima, M.D.
• Shokat M Fatteh, M.D.
• Faucette Child & Family Counseling
• Carolyn Faucette, LISW
• Rodney James Faulkiner, M.D.
• Jennifer L Fautas, ACNS-BC
• Montez Favors
• Richard Lee Fawcett

• Mental Health Counselor in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.