Wayne Rae Faison, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10835 Issued in NC

Practice address

1103 Poplar Ave
Garner, NC 27529-3834

Phone

(919) 271-4710

Fax

(919) 916-5391

NPI assigned

Jun 16, 2014

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

Other names 1

• Mr. Wayne Rae Faison Professional name

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1841604006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LARKWOOD LANE",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275183834",
            "telephone_number": "919-271-4710",
            "fax_number": "919-916-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 POPLAR AVE",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293834",
            "telephone_number": "919-271-4710",
            "fax_number": "919-916-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAISON",
        "first_name": "WAYNE",
        "middle_name": "RAE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10835",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAYNE",
            "last_name": "FAISON",
            "middle_name": "RAE",
            "prefix": "MR.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Serenity Anne Fain
• Christopher W Faircloth, LMBT
• Mindy Smathers Faircloth, MA, CCC-SLP
• Maurice Fairley Jr.
• Tomeico L. Faison, OTR/L
• Family Circle Elder Care
• Family First Chiropractic PLLC (Family First Chiropractic Center)
• Family Psychiatry of North Carolina PLLC
• Carol Farmer, LCSW
• Allyson Thompson Farrell

• Mental Health Counselor in Garner, NC
• Providers in Garner, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.