Active NPI
Clifton Eugene Farabee, L.P.C.
- Professional Counselor
- Forney, TX
National Provider Identifier
1891821849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14889
- Practice address
- 9199 Old Nacogdoches TRL
Forney, TX 75126-7430 - Phone
- (972) 564-0455
- Fax
- (972) 564-4800
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14889 | TX | Primary |
Addresses
Primary practice location
9199 Old Nacogdoches TRL
Forney, TX 75126-7430
Mailing address
344 County Road 1532
Point, TX 75472
Phone (903) 447-3741
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129481 | Other | TX | NORTHSTAR |
| LP0040148 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14889 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1891821849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 COUNTY ROAD 1532",
"city": "POINT",
"state": "TX",
"postal_code": "75472",
"telephone_number": "903-447-3741",
"fax_number": "972-564-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9199 OLD NACOGDOCHES TRL",
"city": "FORNEY",
"state": "TX",
"postal_code": "751267430",
"telephone_number": "972-564-0455",
"fax_number": "972-564-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARABEE",
"first_name": "CLIFTON",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHSTAR",
"identifier": "129481",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LP0040148",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.