Larry Don Faison, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

322 Issued in AL

Practice address

18311 Wisconsin Street
Robertsdale, AL 36567

Phone

(251) 605-6927

Fax

(251) 625-2625

NPI assigned

Oct 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1831424415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27787 MONIAC CV",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365266337",
            "telephone_number": "251-626-3105",
            "fax_number": "251-625-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18311 WISCONSIN STREET",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "36567",
            "telephone_number": "251-605-6927",
            "fax_number": "251-625-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAISON",
        "first_name": "LARRY",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "322",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Hatheway DMD LLC (Central Baldwin Dental Center)
• Heather Rayne Day, DPT
• Taylor Delmore
• Encore Rehabilitation Inc (Encore Rehab of Robertsdale)
• Rebecca Eubanks, PHARMD
• Jeannie Lee Fleek, LPC
• Stacie Renee Franklin
• Leyla Mariel Gomez Olmedo, SLP
• Evie Hackney
• Nicole Hall, PHARMD

• Mental Health Counselor in Robertsdale, AL
• Providers in Robertsdale, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.