Active NPI
Elizabeth J Fairchild, LMSW-C
- Mental Health Counselor
- Saint Joseph, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6801081228
- Practice address
- 414 Main St
Saint Joseph, MI 49085-1235 - Phone
- (269) 262-1591
- NPI assigned
- Jun 23, 2025
- Last updated
- Jun 3, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6801081228 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 6801081228 | MI |
Addresses
Primary practice location
414 Main St
Saint Joseph, MI 49085-1235
Mailing address
1822 Niles Ave
Saint Joseph, MI 49085-1680
Phone (269) 369-2040
Other practice location 1
1030 Miners Rd Ste A
Saint Joseph, MI 49085-9709
Phone (269) 408-8474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1030 Miners Rd
Suite C
Saint Joseph, MI 49085-9709
1030 Miners Rd C
Saint Joseph, MI 49085-9709
1822 Niles Ave
Saint Joseph, MI 49085-1680
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801081228 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fair Child PLC | Clinical | Current | Accepting new patients |
Locations
414 Main St
Saint Joseph, MI 49085
Phone (269) 262-1591
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Saint Joseph, MI
- NPI 1790619534
-
- Speech-Language Pathologist
- Saint Joseph, MI
- NPI 1952099715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1992692925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 NILES AVE",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490851680",
"telephone_number": "269-369-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 MAIN ST",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490851235",
"telephone_number": "269-262-1591"
}
],
"practiceLocations": [
{
"address_1": "1030 Miners Rd Ste A",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MI",
"postal_code": "490859709",
"country_code": "US",
"telephone_number": "269-408-8474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAIRCHILD",
"first_name": "ELIZABETH",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LMSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-23",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801081228",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801081228",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MI
- Sven Alan Erickson, DDS
- Elizabeth Cynthia Escobar, PT, DPT
- Eurisko Vocational Services, LLC (Eurisko Counseling, Training and Recovery)
- Madonna Fabian
- Fair Child PLC
- Family Empowerment Services LLC
- Family Physicians of St. Joseph, P.C.
- Family Therapy & Development Centers Inc
- Family Vision Associates P.C.
- Joseph Adam Farber, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.