Individual provider Active NPI

Lindsay Fairchild, LMFT

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1255713269
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1489 Issued in OR
Practice address
260 E 11TH Ave
Eugene, OR 97401-3247
Phone
(541) 484-4428
Fax
(541) 484-7212
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T1489 OR Primary

Addresses

Primary practice location

260 E 11TH Ave
Eugene, OR 97401-3247

Mailing address

260 E 11TH Ave
Eugene, OR 97401-3247
Phone (541) 484-4428

Other practice location 1

1188 Olive St
Eugene, OR 97401-3547
Phone (352) 215-9242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T1489ORMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1255713269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013247",
            "telephone_number": "541-484-4428",
            "fax_number": "541-484-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013247",
            "telephone_number": "541-484-4428",
            "fax_number": "541-484-7212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1188 Olive St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013547",
            "country_code": "US",
            "telephone_number": "352-215-9242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "LINDSAY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.