MR. SEAN MAKOTO FAULKNER (LCPC) – Mental Health Counselor, NPI 1306319298

MR. SEAN MAKOTO FAULKNER (LCPC) is a healthcare provider. based in Greenwich, Connecticut. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 03996 (KS). The NPI Number for MR. SEAN MAKOTO FAULKNER (LCPC) is 1306319298

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. SEAN MAKOTO FAULKNER (LCPC)
NPI
1306319298
Phone
(347) 450-7371
Address
179 HAMILTON AVE
Enumeration Date
3 January 2019
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9133674879
Graduation Year
2014 (12 years ago)
PAC ID
5395242168
Group Practice PAC ID
6002131091
Professional Enrollment ID
I20251008001202
Address ID
KS660021203AT1412XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

818 MENTAL HEALTH COUNSELOR in CT

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Provider Addresses for MR. SEAN MAKOTO FAULKNER (LCPC)

  • 179, Hamilton Avenue, Greenwich, Fairfield County, Connecticut, 06830, United States

    GREENWICH, CT 068306672

    Phone: (347) 450-7371

    Type: Mailing

  • 522 COMMERCIAL ST

    ATCHISON, KS 660022419

    Phone: (913) 336-2705

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251008001202IMental Health CounselorKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06830)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002131091View full group profile
NameSpecialtyState
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerKS
-KS
-KS
Nurse PractitionerKS
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is there an official ID for MR. SEAN MAKOTO FAULKNER (LCPC) in U.S. healthcare records?
The official identifier for MR. SEAN MAKOTO FAULKNER (LCPC) is NPI 1306319298.
Is MR. SEAN MAKOTO FAULKNER (LCPC) shown as active in public data?
Registry records indicate MR. SEAN MAKOTO FAULKNER (LCPC) maintains an active NPI.
How would a patient describe MR. SEAN MAKOTO FAULKNER (LCPC)'s focus?
For MR. SEAN MAKOTO FAULKNER (LCPC), the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where in Connecticut is MR. SEAN MAKOTO FAULKNER (LCPC) registered?
Use Greenwich, Connecticut as the headline location for MR. SEAN MAKOTO FAULKNER (LCPC) here.
Does MR. SEAN MAKOTO FAULKNER (LCPC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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