Active NPI
Debora Ann Faciane, MS, MFTA
- Case Manager/Care Coordinator
- Louisville, KY
National Provider Identifier
1801552575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 5185 Southpoint Dr Apt 328
Louisville, KY 40229-3198 - Phone
- (323) 382-9753
- NPI assigned
- Nov 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 270636 | KY | |
| Marriage & Family Therapist | 106H00000X | 270636 | KY | |
| Case Manager/Care Coordinator | 171M00000X | KY | Primary |
Addresses
Primary practice location
5185 Southpoint Dr Apt 328
Louisville, KY 40229-3198
Mailing address
5185 Southpoint Dr Apt 328
Louisville, KY 40229-3198
Phone (323) 382-9753
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
| License | State | Type | Specialty |
|---|---|---|---|
| 270636 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calico Counseling Services, LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1801552575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5185 SOUTHPOINT DR APT 328",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402293198",
"telephone_number": "323-382-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5185 SOUTHPOINT DR APT 328",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402293198",
"telephone_number": "323-382-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACIANE",
"first_name": "DEBORA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MS, MFTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-16",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "270636",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "270636",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.