PHILIP J FAUERBACH, LMHC
NPI 1124491105
Counselor - Mental Health in Brandon, FL

Active since November 12, 2015
915 S PARSONS AVE # C, BRANDON, FL 33511(813) 651-1221(813) 657-0850 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip J Fauerbach, Lmhc NPPES

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

PHILIP J FAUERBACH, LMHC (NPI 1124491105) is a healthcare organization registered as a mental health in Brandon, Florida and active in the NPI registry since November 2015. The organization lists Philip J Fauerbach, President, as its authorized official.

NPPES Registry Identity

NPI1124491105
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePHILIP J FAUERBACH, LMHC
Location Address915 S PARSONS AVE # CBrandon, FL 33511-6008
Mailing Address3812 Hanover Hill DrValrico, FL 33596-7161 · (813) 681-7662 · Fax (813) 657-0850
Fax(813) 657-0850
Organization SubpartNo
Authorized OfficialPhilip J FauerbachPresident · 88136511221
Enumeration DateNovember 12, 2015
NPI 1124491105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH3399
915 S PARSONS AVE # C, Brandon, FL 33511

Other Identifiers 2

Medicare UPINZ5785FL
Medicaid761087400FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Philip J Fauerbach, Lmhc's NPI number?

The NPI number for Philip J Fauerbach, Lmhc is 1124491105. It was assigned to this organization in the NPPES registry on November 12, 2015.

Where is Philip J Fauerbach, Lmhc located?

Philip J Fauerbach, Lmhc is located at 915 S Parsons Ave # C, Brandon, FL 33511. The listed phone number is (813) 651-1221.

What is Philip J Fauerbach, Lmhc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Philip J Fauerbach, Lmhc was last updated on November 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.