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JACKLYN ANN FAIRCHILD P.C., N.C.C
NPI 1063832830
Counselor - Professional in Berea, OH

Active since April 21, 2014
202 E BAGLEY RD, BEREA, OH 44017(440) 260-8453 Get Directions Write a Review

NPPES record last updated: April 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacklyn Ann Fairchild P.c., N.c.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKLYN ANN FAIRCHILD P.C., N.C.C (NPI 1063832830) is an individual professional provider in Berea, Ohio, licensed in Ohio (C1400045) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1063832830
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACKLYN ANN FAIRCHILDCredential: P.C., N.C.C
Location Address202 E BAGLEY RDBerea, OH 44017-2058
Mailing Address5737 Hartneck RdValley City, OH 44280-9767 · (704) 763-8083
Phone(440) 260-8453
Sole ProprietorYes
Enumeration DateApril 21, 2014
✔ NPI 1063832830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C1400045
202 E BAGLEY RD, Berea, OH 44017
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Providence Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASIYA JAWAD
Community Health Worker
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 260-6835
NICOLE ZAROBILA
Counselor
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (800) 234-2006
ERINI POULOS RN
Registered Nurse
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 260-8300
JOHN MAXWELL MCCARTY
Counselor (Addiction (Substance Use Disorder))
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (216) 502-7982
HORACE JOEL WHITWORTH QMHS MA CMS MA
Community Health Worker
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 260-8300
MRS. THERESA MARIA SMITH LISW
Social Worker (Clinical)
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 260-8303
SHARMILA SAMAROO RN
Registered Nurse
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (444) 260-8327
ALLISON APEL
Counselor (Professional)
202 E BAGLEY RD
BEREA, OH 44017
Cuyahoga County (800) 234-2006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacklyn Fairchild's NPI number?

The NPI number for Jacklyn Fairchild is 1063832830. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Jacklyn Fairchild located?

Jacklyn Fairchild practices at 202 E Bagley Rd, Berea, OH 44017. The listed phone number is (440) 260-8453.

What is Jacklyn Fairchild's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Jacklyn Fairchild accept?

Health plans from CareSource, MedMutual, Providence Health Plan and SummaCare list Jacklyn Fairchild as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacklyn Fairchild was last updated on April 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.