Organization Active NPI

Katrina Fairchild, PLLC

  • Mental Health Counselor
  • Georgetown, TX
National Provider Identifier
1679438790
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KATRINA FAIRCHILD, PLLC
Practice address
3613 Williams Dr Ste 1005
Georgetown, TX 78628-1376
Phone
(737) 279-4700
Fax
(737) 279-4500
NPI assigned
Dec 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Authorized official

Name
Katrina Anna Fairchild, LPCNPI 1639737794
Title
Owner
Phone
(817) 470-5104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3613 Williams Dr Ste 1005
Georgetown, TX 78628-1376

Mailing address

3613 Williams Dr Ste 1005
Georgetown, TX 78628-1376
Phone (737) 279-4700

National Provider Directory

National Provider Directory

Locations

3613 Williams Dr
Ste 1005
Georgetown, TX 78628
Phone (737) 279-4700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766188800000",
    "number": "1679438790",
    "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": [],
    "basic": {
        "organization_name": "KATRINA FAIRCHILD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-20",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A",
        "authorized_official_last_name": "FAIRCHILD",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-470-5104",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.