JESSE FAIRCHILD LLC NPI 1467724013

NPI Information

  • NPI: 1467724013
  • Provider Name: JESSE FAIRCHILD LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • :
  • Address: 2057 PULASKI HWY STE 4
    NORTH EAST, MD
    ZIP 21901
  • Phone: (443) 877-4044

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NPI Details

JESSE FAIRCHILD LLC is a mental health counselor in North East, MD. JESSE FAIRCHILD LLC NPI is 1467724013. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

2057 PULASKI HWY STE 4
NORTH EAST, MD
ZIP 21901-744
Phone: (443) 877-4044
Fax: (443) 967-0077

The provider's authorized official is Janice Leslie Fairchild Chavero .
The authorized official title is Practice Owner and has the following contact phone number (443) 877-4044.

The enumeration date for this NPI number is 1/29/2012 and was last updated on 1/10/2026.

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
1221700000XArt TherapistNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4101YM0800XCounselorMental HealthLC2857MARYLANDYes

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: 11/21/2025

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