Individual provider Active NPI

Adam M Farero, LMFT

  • Marriage & Family Therapist
  • Mason, MI
National Provider Identifier
1811280761
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101007114 Issued in MI
Practice address
863 Eaton Dr
Mason, MI 48854-1335
Phone
(517) 258-2486
Fax
(517) 306-4821
NPI assigned
May 25, 2011
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 4101007114 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

863 Eaton Dr
Mason, MI 48854-1335

Mailing address

863 Eaton Dr
Mason, MI 48854-1335
Phone (517) 258-2486

Other practice location 1

757 Roosevelt St
Mason, MI 48854-1829
Phone (734) 274-9146

Other practice location 2

750 N 200 W
Suite 300
Provo, UT 84601-1677
Phone (801) 373-4760

Other practice location 3

1550 Watertower Pl Ste 100
East Lansing, MI 48823-8052
Phone (248) 274-4705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4101007114MIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1811280761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 EATON DR",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541335",
            "telephone_number": "517-258-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 EATON DR",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541335",
            "telephone_number": "517-258-2486",
            "fax_number": "517-306-4821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "MI",
            "postal_code": "488541829",
            "country_code": "US",
            "telephone_number": "734-274-9146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 N 200 W",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846011677",
            "country_code": "US",
            "telephone_number": "801-373-4760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 Watertower Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488238052",
            "country_code": "US",
            "telephone_number": "248-274-4705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARERO",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101007114",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, MI

Sources for this page

Verify at the official NPI Registry.