Organization Active NPI

Fachting Counseling Services, Inc.

  • Psychologist
  • Clare, MI
National Provider Identifier
1801128558
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FACHTING COUNSELING SERVICES, INC.
Practice address
301 E 4TH St
Clare, MI 48617-1547
Phone
(989) 386-8166
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Dr. Daniel Dean FachtingNPI 1487719977
Title
Psychologist
Phone
(989) 386-8166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

301 E 4TH St
Clare, MI 48617-1547

Mailing address

301 E 4TH St
Clare, MI 48617-1547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100721000401 MI Part B Supplier - Clinic/Group Practice 0547392953 Receives reassigned benefits from 1 practitioner
Practice locations: Clare, MI

National Provider Directory

National Provider Directory

Locations

301 E 4th St
Clare, MI 48617
Phone (989) 386-8166

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1801128558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 4TH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 4TH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171547",
            "telephone_number": "989-386-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACHTING COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "FACHTING",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "989-386-8166",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clare, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.