Jesse Fairchild LLC
NPI 1467724013 · Mental Health Counselor · North East, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jesse Fairchild LLC is a Mental Health Counselor organization in North East, MD (NPI 1467724013).
Provider details
- NPI number
- 1467724013
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Janice Fairchild Chavero, Practice Owner(443) 877-4044
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Art Therapist221700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bodhi
- Doing business as
- Bodhi
- Doing business as
- Bodhi Counseling
Registry dates
- Enumerated
- 2012-01-29
- Last updated
- 2026-01-10
- Certified
- 2026-01-10
Frequently asked questions
- What is Jesse Fairchild LLC's NPI number?
- Jesse Fairchild LLC's National Provider Identifier (NPI) is 1467724013, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jesse Fairchild LLC?
- Jesse Fairchild LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jesse Fairchild LLC located?
- Jesse Fairchild LLC's practice location on file with NPPES is 2057 Pulaski Hwy Ste 4, North East, MD 21901-3744.
- What is Jesse Fairchild LLC's phone number?
- The practice phone number listed in the NPPES registry for Jesse Fairchild LLC is (443) 877-4044.
- Does Jesse Fairchild LLC accept Medicare?
- Jesse Fairchild LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jesse Fairchild LLC?
- The authorized official listed on Jesse Fairchild LLC's NPPES record is Janice Fairchild Chavero, Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jesse Fairchild LLC's NPI active?
- Yes — Jesse Fairchild LLC's NPI (1467724013) is active in the NPPES registry as of the last update on 2026-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.