JASON L. FAIRWEATHER
NPI 1225626963
Counselor - Professional in Berlin, WI

Q: What is Jason L. Fairweather's NPI number?

The NPI number for Jason L. Fairweather is 1225626963. It was assigned to this organization in the NPPES registry on January 7, 2021. The provider is doing business as Walk of Life Counseling, LLC.

Q: What is Jason L. Fairweather's specialty?

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

Active since January 07, 2021

553 BROADWAY, BERLIN, WI 54923(920) 204-6590 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, Jan 8, 2021 (2 updates tracked since 2021).

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About Jason L. Fairweather NPPES

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

JASON L. FAIRWEATHER (NPI 1225626963), doing business as Walk Of Life Counseling, Llc, is a healthcare organization registered as a professional in Berlin, Wisconsin and active in the NPI registry since January 2021. The organization lists Jason Lee Fairweather, Owner, as its authorized official.

NPPES Registry Identity

NPI1225626963

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameJASON L. FAIRWEATHER

Location Address553 BROADWAYBerlin, WI 54923-1323

Mailing Address553 BroadwayBerlin, WI 54923-1323 · (920) 204-6590

Phone(920) 204-6590

Organization SubpartNo

Authorized OfficialJason Lee FairweatherOwner · (920) 204-6590

Enumeration DateJanuary 7, 2021

Last NPPES UpdateJanuary 12, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2021

✔ NPI 1225626963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

553 BROADWAY, Berlin, WI 54923

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Other Names 1

Doing Business AsWalk Of Life Counseling, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JASON LEE FAIRWEATHER LPC, SACIT, CSIT

Counselor (Professional)

553 BROADWAY
BERLIN, WI 54923

Green Lake County (920) 204-6590

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 Jason L. Fairweather's NPI number?

The NPI number for Jason L. Fairweather is 1225626963. It was assigned to this organization in the NPPES registry on January 7, 2021. The provider is doing business as Walk of Life Counseling, LLC.

Where is Jason L. Fairweather located?

Jason L. Fairweather is located at 553 Broadway, Berlin, WI 54923. The listed phone number is (920) 204-6590.

What is Jason L. Fairweather's specialty?

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

When was this NPI record last updated?

The NPPES record for Jason L. Fairweather was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.