Cathy Tina Fariss, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17907 Issued in TX

Practice address

3530 Bee Cave Rd
Suite 214
West Lake Hills, TX 78746-5391

Phone

(512) 577-9932

NPI assigned

Aug 21, 2006

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

Other identifiers 1

Other names 1

• Miss Cathy Tina Marchese Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790890366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 BEE CAVE RD",
            "address_2": "SUITE 214",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465391",
            "telephone_number": "512-577-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 BEE CAVE RD",
            "address_2": "SUITE 214",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465391",
            "telephone_number": "512-577-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARISS",
        "first_name": "CATHY",
        "middle_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "6227LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHY",
            "last_name": "MARCHESE",
            "middle_name": "TINA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.