ANDREA FACKLER (NPI# 1982221115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982221115 |
| Entity Type | Individual |
| Full Name | ANDREA FACKLER |
| Credential | LPC-INTERN |
| Practice Address |
4425 S. Mopac Expressway Building 3, Suite 503 Austin TX 78735 |
| Mailing Address |
3115 S 1st St Apt 201 Austin TX 78704-6365 |
| Practice Telephone | 5122701513 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 83581 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3115 S 1st St Apt 201, Austin, TX 787046365 | 9703161076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376721852 | Andrea Nicole Fackler | Case Manager/Care Coordinator | 108 New Glendale Rd, Lincoln Trail District Health Dept, Elizabethtown, KY 42702-2609 | 2008-02-06 |
| Street Address |
4425 S. MOPAC EXPRESSWAY BUILDING 3, SUITE 503 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959748 | Si Shou Acupuncture and Wellness, Pllc | Acupuncturist | 5424 W Us Hwy 290 Service Rd, Ste #106, Austin, TX 78735 | 2020-07-10 |
| 1134763162 | Amanda Enzbigilis | Physical Therapist | 5251 W Us Highway 290, Austin, TX 78735 | 2019-11-02 |
| 1427616408 | Soco Psychotherapy, Inc | Counselor | 4425 Mopac Expressway South, Bldg II, Suite 204, Austin, TX 78735 | 2019-06-04 |
| 1306306154 | Kelly Bolerjack | Doula | 4400 Twisted Tree Drive, Austin, TX 78735 | 2019-03-20 |
| 1407362619 | Sara Katherine Paules | Counselor | 4425 South Mopac Expy, Suite 502, Austin, TX 78735 | 2017-12-26 |
| 1851806418 | Circle Medical Care of Texas P. A. | Internal Medicine | 5424 W. Us Hwy 290, 101, Austin, TX 78735 | 2017-12-05 |
| 1699293266 | Derek Kalvin Vo | Dentist | 7612 W Highway 71 Ste B, Austin, TX 78735 | 2017-09-05 |
| 1588189013 | Rachel Caroline Boraten | Audiologist | 5625 Eiger Rd Ste 125, Austin, TX 78735 | 2017-08-05 |
| 1669908489 | Lesley Caldwell Ma Lpc Pllc | Counselor | 4425 South Mopac Expy., Building IIi, Suite 603, Austin, TX 78735 | 2017-05-11 |
| 1104351766 | Serenity Dental Pllc | Clinic/Center | 8731 State Hwy 71 West, Suite 102, Austin, TX 78735 | 2017-04-20 |
| Find all providers in zip 78735 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345072 | Rebecca Summers | Counselor | 2208 E 14th St, Austin, TX 78702-1306 | 2020-08-05 |
| 1609405307 | Tressie Dee Seegers | Counselor | 8700 Menchaca Rd Ste 202, Austin, TX 78748-5373 | 2020-04-04 |
| 1992339188 | Blake M Thompson | Counselor | 7004 Bee Caves Rd Ste 200, Austin, TX 78746-5004 | 2020-02-26 |
| 1558901850 | Jesse Bryan Snead | Counselor | 12124 Ranch Road 620 N, Austin, TX 78750-1079 | 2020-01-14 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1013553411 | Carl Funk | Counselor | 600 W 28th St Ste 207, Austin, TX 78705-3798 | 2019-11-20 |
| 1265084289 | Austin Strong: Relationship Building Center | Counselor | 1714 Fortview Rd Ste 106a, Austin, TX 78704-7659 | 2019-07-10 |
| 1225690811 | April Mcanally | Counselor | 1010 Land Creek Cv Ste 150, Austin, TX 78746-7652 | 2019-07-03 |
| 1588225908 | Ensemble Therapy, Pllc | Counselor | 1213 W 49th St, Austin, TX 78756-3102 | 2019-06-26 |
| 1104486687 | Anabenita Arellano | Counselor | 12507 Rampart St, Austin, TX 78727-4454 | 2019-06-17 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.