Nicole Fairchild, LPC is a
Counselor - School based in Jasper, Arkansas. Nicole Fairchild is licensed to practice in Arkansas (license number P1011074) and her current practice location is
600 School St, Jasper School District, Jasper, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 446-9305.
NPI number for Nicole Fairchild is 1104824341 and her current mailing address is 600 School St, Jasper School District, Jasper, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104824341.
Healthcare Provider's Profile
Full Name | Nicole Fairchild |
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Gender | Female |
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Speciality | Counselor - School |
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Location | 600 School St, Jasper, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104824341
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 04/02/2015
Medical Identifiers
Medical identifiers for Nicole Fairchild such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104824341 | NPI | - | NPPES |
497205401 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 2002031917 (Missouri) | Secondary |
101YS0200X | Counselor - School | P1011074 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Fairchild is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Fairchild, LPC 600 School St, Jasper School District, Jasper, AR 72641-8802 Ph: (870) 446-9305 | Nicole Fairchild, LPC 600 School St, Jasper School District, Jasper, AR 72641-8802 Ph: (870) 446-9305 |
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