Individual provider Active NPI

Lindsay J Faber, LMHC, QS, MS

  • Mental Health Counselor
  • St Augustine, FL
National Provider Identifier
1639677297
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18391 Issued in FL
Practice address
1750 A1A S Ste a
St Augustine, FL 32080-5582
Phone
(904) 990-4524
NPI assigned
Jan 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH18391 FL Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1750 A1A S Ste a
St Augustine, FL 32080-5582

Mailing address

209 E Pisa PL
St Augustine, FL 32084-2585
Phone (904) 826-6949

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH18391FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Counseling, LLC Mental Health CurrentSince Jul 28, 2024 Accepting new patients
Children'S Home Society of Florida Past Accepting new patients

Locations

1750 A1A S
Ste A
St Augustine, FL 32080
Phone (828) 242-9553

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1639677297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E PISA PL",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842585",
            "telephone_number": "904-826-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 A1A S STE A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320805582",
            "telephone_number": "904-990-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "LINDSAY",
        "middle_name": "J",
        "credential": "LMHC, QS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18391",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.