Fayon Witche, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00445700 Issued in NJ

Practice address

27 West St Ste 7B
Bloomfield, NJ 07003-4938

Phone

(862) 205-5162

Fax

(973) 860-0892

NPI assigned

May 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1679138358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WEST ST STE 7B",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034938",
            "telephone_number": "862-205-5162",
            "fax_number": "973-860-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WEST ST STE 7B",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034938",
            "telephone_number": "862-205-5162",
            "fax_number": "973-860-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITCHE",
        "first_name": "FAYON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00445700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Kagan Weitz, AU.D.
• Todd Welsh, D.M.D.
• Kylie Marie Whalen
• Taneisha Williams
• Vasthi C Wilson, MD
• Within Health Provider Services NJ LLC
• Tara Wohltman, OTR/L
• Elisabeth Wood, PA
• Kevin R. Woodson, M.D.
• David S Wu, MD

• Professional Counselor in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.