Carolyn Faulkner, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701003047 Issued in VA

Practice address

24 Clay St
Martinsville, VA 24112-2810

Phone

(276) 632-7128

Fax

(276) 632-0127

NPI assigned

Feb 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Piedmont Regional Community Services Board

  • Community/Behavioral Health Agency
  • Martinsville, VA
  • NPI 1699754010
  Medicare reassignment NPD

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1700859303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CLAY ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122810",
            "telephone_number": "276-632-7128",
            "fax_number": "276-632-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CLAY ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122810",
            "telephone_number": "276-632-7128",
            "fax_number": "276-632-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "CAROLYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044945221",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Preservation Services, Inc
• Family Preservation Services, Inc
• Family YMCA, Inc.
• Alice F Farmer, PHD
• Ayokunle Fatade, D.O.
• Favero Family Practice Incorporated (Martinsville Family Medicine)
• John Patrick Favero Jr., D.O.
• Bennett Ira Fein, MD
• Aleshia Monique Ferrell, MSW
• Erica Sule Ficarrotto, PT

• Professional Counselor in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.