Active NPI
Robert Ronald Fair, LPC
- Mental Health Counselor
- West Chester, PA
National Provider Identifier
1831682384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC-005435
- Practice address
- 1515 W Chester Pike Ste C2
West Chester, PA 19382-7782 - Phone
- (215) 219-4150
- NPI assigned
- Jun 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Mental Health Counselor | 101YM0800X | PC-005435 | PA | Primary |
Addresses
Primary practice location
1515 W Chester Pike Ste C2
West Chester, PA 19382-7782
Mailing address
1966 Main Ave
Conshohocken, PA 19428-1215
Phone (215) 219-4150
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC-005435 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528588800000",
"number": "1831682384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1966 MAIN AVE",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281215",
"telephone_number": "215-219-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W CHESTER PIKE STE C2",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193827782",
"telephone_number": "215-219-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIR",
"first_name": "ROBERT",
"middle_name": "RONALD",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-10",
"last_updated": "2018-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC-005435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.