Katrina Anna Fairchild, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

74634 Issued in TX

Practice address

3613 Williams Dr Ste 1005
Georgetown, TX 78628-1376

Phone

(737) 279-4700

Fax

(737) 279-4500

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Katrina Anna Auwaerter Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Katrina Fairchild, PLLC

  • Mental Health Counselor
  • Georgetown, TX
  • NPI 1679438790
  NPD Authorized official
• Progressive Behavioral Health, PLLC

  • Mental Health Counselor
  • Friendswood, TX
  • NPI 1659567238
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1639737794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 WILLIAMS DR STE 1005",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281376",
            "telephone_number": "737-279-4700",
            "fax_number": "737-279-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 WILLIAMS DR STE 1005",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281376",
            "telephone_number": "737-279-4700",
            "fax_number": "737-279-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Denali Pass Unit 105",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137766",
            "country_code": "US",
            "telephone_number": "512-201-4006",
            "fax_number": "254-773-0919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "KATRINA",
        "middle_name": "ANNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS",
            "identifier": "74634",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "AUWAERTER",
            "middle_name": "ANNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.