Carol Jeanette Fairchild, ARNP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ARNP2992062 Issued in FL

Practice address

2020 Commerce Dr
Melbourne, FL 32904-2335

Phone

(321) 952-6000

Fax

(321) 637-3648

NPI assigned

Apr 6, 2006

Last updated

Feb 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Circles of Care IncGroup PAC ID 8729069380, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Circles of Care, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Melbourne, FL
  • NPI 1215345954
  Medicare reassignment Care Compare group NPD
• Circles of Care, Inc.

  • Psychiatric Hospital
  • Melbourne, FL
  • NPI 1679541031
  NPD

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1972565547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013122",
            "telephone_number": "321-722-5200",
            "fax_number": "321-637-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COMMERCE DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329042335",
            "telephone_number": "321-952-6000",
            "fax_number": "321-637-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "CAROL",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP2992062",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ARNP2992062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyesupply (2020 Eyeglass Superstore)
• Eyewearllc
• F .Matuk M.D.,P.a.
• Facial Surgery Center PA
• Factory Reset Chiropractic and Wellness
• L. Scott Fairchild, PSY. D.
• Fairview Avenue LLC (BrightStar Care Brevard & Osceola)
• Ignacio Falcon
• Valerie Falcone
• Sherene T Falconer, MD

• Mental Health Counselor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.