Individual provider Active NPI

Elizabeth J Fairchild, LMSW-C

  • Mental Health Counselor
  • Saint Joseph, MI
National Provider Identifier
1992692925
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801081228 Issued in MI
Practice address
414 Main St
Saint Joseph, MI 49085-1235
Phone
(269) 262-1591
NPI assigned
Jun 23, 2025
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260601000753 MI Practitioner - Clinical Social Worker 8325518319 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
6801081228MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Sources for this page

Verify at the official NPI Registry.