Gary D Faber

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60166120 Issued in WA

Practice address

1505 Kla-Ook-Wa Drive
Taholah, WA 98587

Phone

(360) 276-4405

Fax

(360) 276-4104

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1861700080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "TAHOLAH",
            "state": "WA",
            "postal_code": "985870219",
            "telephone_number": "360-276-4405",
            "fax_number": "360-276-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 KLA-OOK-WA DRIVE",
            "city": "TAHOLAH",
            "state": "WA",
            "postal_code": "98587",
            "telephone_number": "360-276-4405",
            "fax_number": "360-276-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "GARY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60166120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Dee Bumgarner, MA
• Samantha Capoeman, ARNP
• Susan C Davis, MENTAL HEALTH
• Tamara A Dudley
• Hope Errin Edwards, MS, NCC,
• Alex Eugene Fabini, MA, LPC
• David A Hagen, CHEMICAL DEPENDENCY
• Lisa Hall
• Mary Louise Hart, ARNP
• Erica Susanna Jackson, SUDP/T

• Mental Health Counselor in Taholah, WA
• Providers in Taholah, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.