Individual provider Active NPI

James M Faust, MA LMHC

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1972507622
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00009712 Issued in WA
Practice address
12405 Tilley Rd S Unit 22
Olympia, WA 98512-9168
Phone
(360) 754-4712
Fax
(360) 386-1087
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00009712 WA Primary

Addresses

Primary practice location

12405 Tilley Rd S Unit 22
Olympia, WA 98512-9168

Mailing address

12405 Tilley Rd S Unit 22
Olympia, WA 98512-9168
Phone (360) 754-4712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201002552 WA Practitioner - Mental Health Counselor 2264885649 Practice locations: Olympia, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12405 Tilley Rd S
Olympia, WA 98512-9168
Phone (360) 754-4712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
James Faust & Associates PLLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

12405 Tilley Rd S
Unit 22
Olympia, WA 98512
Phone (360) 754-4712

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1972507622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12405 TILLEY RD S UNIT 22",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985129168",
            "telephone_number": "360-754-4712",
            "fax_number": "360-386-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12405 TILLEY RD S UNIT 22",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985129168",
            "telephone_number": "360-754-4712",
            "fax_number": "360-386-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MA LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.