Individual provider Active NPI

Faylinn Habermehl, LPC

  • Professional Counselor
  • Roanoke, TX
National Provider Identifier
1811573157
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81152 Issued in TX
Practice address
701 N Walnut St
Roanoke, TX 76262-9186
Phone
(817) 889-0931
NPI assigned
Mar 18, 2021
Last updated
Feb 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 81152 TX Primary

Addresses

Primary practice location

701 N Walnut St
Roanoke, TX 76262-9186

Mailing address

1204 River Ridge Rd
Roanoke, TX 76262-4419

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address faylinn@olivehousecounseling.com Direct

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

State licenses

LicenseStateTypeSpecialty
81152TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Free Counseling, PLLC Professional 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1811573157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 RIVER RIDGE RD",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762624419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N WALNUT ST",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762629186",
            "telephone_number": "817-889-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMEHL",
        "first_name": "FAYLINN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2022-02-05",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "faylinn@olivehousecounseling.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "701 N Walnut St",
            "city": "Roanoke",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762629186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.