JOSEPH DWAYNE FAIRCHILD LPCC NPI 1164712667

NPI Information

  • NPI: 1164712667
  • Provider Name: JOSEPH DWAYNE FAIRCHILD, LPCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 330 25TH ST
    ASHLAND, KY
    ZIP 41101
  • Phone: (606) 329-8588

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NPI Details

Joseph Dwayne Fairchild, LPCC is a professional counselor in Ashland, KY with 15 years of experience. Joseph Dwayne Fairchild, LPCC NPI is 1164712667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

330 25TH ST
ASHLAND, KY
ZIP 41101-820
Phone: (606) 329-8588

The NPI 1164712667 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/18/2011 and was last updated on 8/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional103514KENTUCKYYes
2101YP2500XCounselorProfessional103514KANSASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100280980MEDICAIDKENTUCKY
212708338OTHERCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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