NPIMap

Organization Active NPI

Fairchild Counseling LLC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1952516338
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1385 Issued in CO
Legal business name
FAIRCHILD COUNSELING LLC
Doing business as
Connie M Fairchild MA LPC CAC I
Practice address
315 E Dale St
Colorado Springs, CO 80903-1102
Phone
(719) 291-5623
Fax
(719) 473-4066
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Ms. Connie M Fairchild, MA LPC CAC INPI 1245398668
Title
President Single Entity LLC
Phone
(719) 291-5623

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 5708 CO
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 1385 CO Primary

Addresses

Primary practice location

315 E Dale St
Colorado Springs, CO 80903-1102

Mailing address

PO Box 2687
Colorado Springs, CO 80901-2687
Phone (719) 291-5623

Other names 1

  • Connie M Fairchild MA LPC CAC I Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1952516338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2687",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809012687",
            "telephone_number": "719-291-5623",
            "fax_number": "719-473-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E DALE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031102",
            "telephone_number": "719-291-5623",
            "fax_number": "719-473-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRCHILD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "FAIRCHILD",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT SINGLE ENTITY LLC",
        "authorized_official_telephone_number": "719-291-5623",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LPC CAC I"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "5708",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "1385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connie M Fairchild MA LPC CAC I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.