Kara Fairchild, LMFT
Individual provider Active NPI Mental Health Counselor · Middletown, CT
NPI 1497278675 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1497278675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1930 (CT)
- Practice address
- 79 Mill St
Middletown, CT 06457-4468 - Phone
- (860) 258-6060
- NPI assigned
- Jul 19, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Life Therapy, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1930 | CT | Yes |
Addresses
Primary practice location
79 Mill St
Middletown, CT 06457-4468
Mailing address
79 Mill St
Middletown, CT 06457-4468
Phone (860) 258-6060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972964898 | Other | CT | WELL LIFE THERAPY, LLC |
Other providers in Middletown, CT
- Emily Jianming Etter
- Eugene M. Ciccone, MD
- Evine LLC
- Ashley Ey
- Megan Marie Fainer
- Alyson Faires
- Robert Elton Fales Jr.
- Mae Joy E. Falk
- Marcy Marie Fanello Diaz
- Joseph Farah
All providers in Middletown, CT · Mental Health Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.