KIMBERLY FAIRCHILD LPC
NPI 1225424286
Counselor - Mental Health in Wautoma, WI

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment
400 S TOWNLINE RD, WAUTOMA, WI 54982(920) 787-5514 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Dec 18, 2020 (2 updates tracked since 2020).

About Kimberly Fairchild Lpc NPPES

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

KIMBERLY FAIRCHILD LPC (NPI 1225424286) is an individual mental health provider in Wautoma, Wisconsin, licensed in Wisconsin (7129-125) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1225424286
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY FAIRCHILDCredential: LPC
Location Address400 S TOWNLINE RDWautoma, WI 54982-6922
Mailing Address1472 16th AveArkdale, WI 54613-9624 · (920) 889-9388
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 7, 2015
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
NPI 1225424286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WI · 7129-125
400 S TOWNLINE RD, Wautoma, WI 54982

Other Identifiers 2

Medicaid100043623WI
MedicaidK401235342WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberly Fairchild Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294186243
PECOS Enrollment IDI20240104000502
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Nurse Practitioner (Psychiatric/Mental Health)
400 S TOWNLINE RD
WAUTOMA, WI 54982
Pharmacy
400 S TOWNLINE RD
WAUTOMA, WI 54982
Dentist (General Practice)
400 S TOWNLINE RD
WAUTOMA, WI 54982
Dietitian, Registered
400 S TOWNLINE RD
WAUTOMA, WI 54982
Family Medicine
400 S TOWNLINE RD
WAUTOMA, WI 54982

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 Kimberly Fairchild's NPI number?

The NPI number for Kimberly Fairchild is 1225424286. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Kimberly Fairchild located?

Kimberly Fairchild practices at 400 S Townline Rd, Wautoma, WI 54982. The listed phone number is (920) 787-5514.

What is Kimberly Fairchild's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kimberly Fairchild enrolled in Medicare?

Yes. Kimberly Fairchild is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Fairchild accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 3 other insurers list Kimberly 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 Kimberly Fairchild was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.