Active NPI
Amy B Faust, MC/MFCT, LPC
- Mental Health Counselor
- Queen Creek, AZ
National Provider Identifier
1912916776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-16813
- Practice address
- 18720 E Pine Valley Dr
Queen Creek, AZ 85142-3575 - Phone
- (361) 935-9285
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-16813 | AZ | Primary |
Addresses
Primary practice location
18720 E Pine Valley Dr
Queen Creek, AZ 85142-3575
Mailing address
18720 E Pine Valley Dr
Queen Creek, AZ 85142-3575
Phone (361) 935-9285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 25, 2024 through Oct 25, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-16813 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1912916776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18720 E PINE VALLEY DR",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851423575",
"telephone_number": "361-935-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18720 E PINE VALLEY DR",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851423575",
"telephone_number": "361-935-9285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "AMY",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "MC/MFCT, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-16813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.