JESSE FAIRCHILD LLC (NPI# 1467724013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467724013 |
| Entity Type | Organization |
| Organization Name | JESSE FAIRCHILD LLC |
| Other Organization Name | BODHI |
| Practice Address |
2327 Pulaski Hwy Suite 101b North East MD 21901-3706 |
| Practice Telephone | 4438774044 |
| Practice Fax Number | 4435057065 |
| Mailing Telephone | 4438774044 |
| Enumeration Date | 2012-01-29 |
| Last Update Date | 2012-01-29 |
| Authorized Official Name | JANICE FAIRCHILD (OWNER) |
| Authorized Official Telephone | 4104560142 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC2857 | MD | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Bodhi | Doing Business As Name - Organization |
| Street Address |
2327 PULASKI HWY SUITE 101B |
| City | NORTH EAST |
| State | MD |
| Zip Code | 21901-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164874731 | Best Medical LLC | Specialist | 2327 Pulaski Hwy, North East, MD 21901-3706 | 2016-07-07 |
| 1144625344 | Fast Care Medical Aid Unit, LLC | Clinic/Center | 2327 Pulaski Hwy, Suite 103, North East, MD 21901-3706 | 2014-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653104 | Beth Anders | Social Worker | 2057 Pulaski Highway, North East, MD 21901 | 2019-08-05 |
| 1679029243 | Brenda Fitzgerald | Dental Hygienist | 2057 Pulasky Hwy., Suite 2, North East, MD 21901 | 2016-09-01 |
| 1275818239 | Norman Lane Tosh | Pharmacist | 2556 W Pulaski Hwy, Northj East, MD 21901 | 2011-10-20 |
| 1013194034 | James Moorhouse | Registered Nurse | Perry Point Vamhcs, Perry Point, MD 21901 | 2008-01-22 |
| 1861672016 | Lynda Rae Kopishke | Case Manager/Care Coordinator | 109 North East Isles Drive, Suite 100, North East, MD 21901 | 2007-11-05 |
| 1134220981 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 101 Northeast Road, North East, MD 21901 | 2006-09-26 |
| 1245258516 | Julie T Poludniak | Family Medicine | 322 East Cecil Aveneue, Suite 1, North East, MD 21901 | 2006-07-17 |
| 1730252677 | Carolyn Marie Wells | Social Worker | 1930 Turkey Point Rd, North East, MD 21901 | 2006-11-16 |
| 1881641132 | Keith R Sokoloff | Family Medicine | 14 Rogers Rd, North East, MD 21901 | 2006-05-30 |
| 1538715255 | Ashley Amirah Copes | Behavior Technician | 219 Old Elm Rd, North East, MD 21901-1304 | 2019-08-18 |
| Find all providers in zip 21901 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811324890 | Justin Orndorff | Counselor | 110 E Main St Ste 1, North East, PA 16428-1333 | 2013-10-04 |
| 1215590237 | Kasey Lynn Seltner | Counselor | 2057 Pulaski Hwy Ste 4, North East, MD 21901-3744 | 2019-04-16 |
| 1750848651 | Danielle Brittany Lee | Counselor | 2057 Pulaski Hwy, North East, MD 21901-3744 | 2019-02-27 |
| 1285143727 | Joy Louise Himmel | Counselor | 2057 Pulaski Hwy Ste 4, North East, MD 21901-3744 | 2017-09-27 |
| 1376966002 | Valerie Dawkins | Counselor | 206 Mechanics Valley Rd, North East, MD 21901-3824 | 2014-01-31 |
| 1518395698 | Christina L Taylor | Counselor | 500 S Main St, North East, MD 21901-3920 | 2013-10-28 |
| 1801048137 | Marlene King Backert | Counselor | 1930 Turkey Point Rd, North East, MD 21901-5452 | 2008-10-17 |
| 1164620043 | Janice Leslie Fairchild | Counselor | 500 S Main St, Suite 101b, North East, MD 21901-3920 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780412 | Christina Johnson | Counselor | 5532 Dartmouth St, Churchton, MD 20733-9615 | 2020-11-08 |
| 1780285023 | Wendy L Gill | Counselor | 2714 Egret Way, Frederick, MD 21701-1912 | 2020-11-03 |
| 1609476399 | Sarah Elaine Rybak | Counselor | 6517 Shenandoah Dr, Eldersburg, MD 21784-8220 | 2020-10-30 |
| 1043810872 | Jessica Ann Piazza | Counselor | 5004 Honeygo Center Dr Ste 102-259, Perry Hall, MD 21128-8963 | 2020-10-30 |
| 1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
| 1821698242 | Pride of Nyla, LLC | Counselor | 5557 Baltimore Ave Ste 500-1265, Hyattsville, MD 20781-1922 | 2020-10-26 |
| 1407453939 | Marissa Block LLC | Counselor | 541 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-07 |
| 1770180838 | Legacy Family Services, LLC | Counselor | 11415 Old Pond Dr, Glenn Dale, MD 20769-9154 | 2020-10-01 |
| 1679170724 | Joseph E Bullock Jr. | Counselor | 8757 Thornbrook Dr, Odenton, MD 21113-3409 | 2020-10-01 |
| 1073120549 | Jacquean Lynette Kosh | Counselor | 711 Harry S Truman Dr Apt 210, Largo, MD 20774-2095 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | NORTH EAST |
| Zip Code | 21901 |
Please comment or provide details below to improve the information on JESSE FAIRCHILD LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.