Kristen L Faine, LICDC,

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

944101 Issued in OH

Practice address

120 S Main St
Marion, OH 43302-3702

Phone

(740) 387-7977

Fax

(740) 387-7977

NPI assigned

Oct 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kristen L Brace-Faine Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Journey Offender Services, LLC

  • Community/Behavioral Health Agency
  • Marion, OH
  • NPI 1932412822
  NPD (past)

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1831473982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31231 STATE ROUTE 37",
            "city": "RICHWOOD",
            "state": "OH",
            "postal_code": "433448708",
            "telephone_number": "937-578-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023702",
            "telephone_number": "740-387-7977",
            "fax_number": "740-387-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAINE",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LICDC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "944101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BRACE-FAINE",
            "middle_name": "L",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Crystal Evans
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• Joanna Linn Failor, D.O.
• Family Dental of Marion James T Leon DDS Inc
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• Jack D Farling, PA-C
• Angela Farrow
• Laura Fee, LPN

• Addiction (Substance Use Disorder) Counselor in Marion, OH
• Providers in Marion, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.