| Joseph Dwayne Fairchild, LPCC | |
|
330 25th St, Ashland, KY 41101-7820 | |
| (606) 329-8588 | |
| Not Available |
| Full Name | Joseph Dwayne Fairchild |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 330 25th St, Ashland, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164712667 | NPI | - | NPPES |
| 7100280980 | Medicaid | KY | |
| 12708338 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 103514 (Kentucky) | Primary |
| 101YP2500X | Counselor - Professional | 103514 (Kansas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathways Inc | 1254239171 | 51 |
| Entity Name | Pathways Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982615043 PECOS PAC ID: 1254239171 Enrollment ID: O20031230000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Dwayne Fairchild, LPCC Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Joseph Dwayne Fairchild, LPCC 330 25th St, Ashland, KY 41101-7820 Ph: (606) 329-8588 |
Brandi Dunn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3701 Landsdowne Dr, Ashland, KY 41102 Phone: 606-324-3005 Fax: 606-329-1530 | |
Kenneth Kennedy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 22nd St, Ashland, KY 41101 Phone: 606-324-1141 | |
Melissa Fannin, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3701 Lansdowne Dr, Ashland, KY 41102 Phone: 606-324-3005 Fax: 606-329-1530 | |
Cynthia Lynn Barker, L.P.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10730 Midland Trail Rd, Ashland, KY 41102 Phone: 606-928-0150 | |
Brittany Adams, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3701 Landsdowne Dr, Ashland, KY 41102 Phone: 606-324-3005 Fax: 606-329-8850 | |
Michael Cantrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2165 Winchester Ave, Ashland, KY 41101 Phone: 606-324-1141 Fax: 606-498-7325 | |
Jeffrey Blake Rogers, CSA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2516 Carter Ave, Ashland, KY 41101 Phone: 606-393-1522 |