Individual provider Active NPI

Megan Denise Faubus, MS, LMFT

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1720116155
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52344 Issued in CA
Practice address
841 Mohawk St Ste 120
Bakersfield, CA 93309-1500
Phone
(661) 333-0776
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 52344 CA Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

841 Mohawk St Ste 120
Bakersfield, CA 93309-1500

Mailing address

PO Box 22382
Bakersfield, CA 93390-2382
Phone (661) 333-0776

Other practice location 1

5121 Stockdale Hwy
Ste 275
Bakersfield, CA 93309-2656
Phone (661) 868-5000 ext. 85015

Other names 1

  • Megan Denise Clutter Former name

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
52344CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1720116155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22382",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933902382",
            "telephone_number": "661-333-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 MOHAWK ST STE 120",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091500",
            "telephone_number": "661-333-0776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5121 Stockdale Hwy",
            "address_2": "STE 275",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933092656",
            "country_code": "US",
            "telephone_number": "661-868-5000 x85015",
            "fax_number": "661-836-8834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUBUS",
        "first_name": "MEGAN",
        "middle_name": "DENISE",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52344",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "CLUTTER",
            "middle_name": "DENISE",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.