Beverly Whitehead Fairchild, M.S., LCPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCO350 Issued in MD

Practice address

953 Hoffmaster Rd
Knoxville, MD 21758-1216

Phone

(301) 834-6039

NPI assigned

Apr 14, 2008

Last updated

Apr 14, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1841464690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 HOFFMASTER RD",
            "city": "KNOXVILLE",
            "state": "MD",
            "postal_code": "217581216",
            "telephone_number": "301-834-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 HOFFMASTER RD",
            "city": "KNOXVILLE",
            "state": "MD",
            "postal_code": "217581216",
            "telephone_number": "301-834-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "BEVERLY",
        "middle_name": "WHITEHEAD",
        "name_prefix": "Ms.",
        "credential": "M.S., LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LCO350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Knoxville, MD
• Providers in Knoxville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.