1. Home
  2. Directory
  3. Illinois
  4. La Salle
  5. Counselor
  6. NPI Profile

WALTER FASKEN
NPI 1003538950
Counselor - Addiction (Substance Use Disorder) in La Salle, IL

Active since September 16, 2022
111 BUCKLIN ST STE 1, LA SALLE, IL 61301(815) 780-0690 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2022, Sep 16, 2022 (2 updates tracked since 2022).

About Walter Fasken NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER FASKEN (NPI 1003538950) is an individual addiction (substance use disorder) provider in La Salle, Illinois, licensed in Illinois (36350) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1003538950
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameWALTER FASKEN
Location Address111 BUCKLIN ST STE 1La Salle, IL 61301-2382
Mailing Address7648 S Oconto AveBridgeview, IL 60455-1323 · (708) 979-1815
Phone(815) 780-0690
Sole ProprietorNo
Enumeration DateSeptember 16, 2022
Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
✔ NPI 1003538950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IL · 36350
111 BUCKLIN ST STE 1, La Salle, IL 61301
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIM GOODHAND
Counselor (Addiction (Substance Use Disorder))
111 BUCKLIN ST STE 1
LA SALLE, IL 61301
Lasalle County (815) 780-0690
SCOTT PAYNE
Social Worker
111 BUCKLIN ST STE 1
LA SALLE, IL 61301
Lasalle County (815) 780-0690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Fasken's NPI number?

The NPI number for Walter Fasken is 1003538950. It was assigned to this individual provider in the NPPES registry on September 16, 2022.

Where is Walter Fasken located?

Walter Fasken practices at 111 Bucklin St Ste 1, La Salle, IL 61301. The listed phone number is (815) 780-0690.

What is Walter Fasken's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Walter Fasken was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.