MARDI KAY FALLON LPCC-S
NPI 1255535092
Counselor - Mental Health in Fairfield, OH

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
1251 NILLES RD STE 5, FAIRFIELD, OH 45014(513) 939-0300(513) 939-0310 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mardi Kay Fallon Lpcc-s NPPES

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

MARDI KAY FALLON LPCC-S (NPI 1255535092) is an individual mental health provider in Fairfield, Ohio, licensed in Ohio (E.8254-S) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Covington, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1255535092
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARDI KAY FALLONCredential: LPCC-S
Location Address1251 NILLES RD STE 5Fairfield, OH 45014-7205
Mailing Address1251 Nilles Rd Ste 5Fairfield, OH 45014-7205 · (513) 939-0300 · Fax (513) 939-0310
Fax(513) 939-0310
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 14, 2007
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1255535092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E.8254-S
Also ListedSocial WorkerTaxonomy 104100000X · License S13653 (OH)
1251 NILLES RD STE 5, Fairfield, OH 45014

Secondary Practice Location 1

Location 1502 Farrell DrCovington, KY 41011-3717 · Phone (859) 578-3200 · Fax (859) 534-2627

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mardi Kay Fallon Lpcc-s 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 ID3577071869
PECOS Enrollment IDI20250806003771
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.

Medicare Billing Reassignment

Medicare enrollment records show Mardi Fallon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
502 FARRELL DR
Covington, KY 41011
  • Reassigned Medicare billing, Kentucky enrollment
  • 82 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Counselor (Professional)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Counselor (Professional)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Counselor (Professional)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Counselor (Professional)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Social Worker (Clinical)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Counselor (Professional)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Counselor
1251 NILLES RD STE 5
FAIRFIELD, OH 45014
Counselor (Mental Health)
1251 NILLES RD STE 5
FAIRFIELD, OH 45014

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 Mardi Fallon's NPI number?

The NPI number for Mardi Fallon is 1255535092. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Mardi Fallon located?

Mardi Fallon practices at 1251 Nilles Rd Ste 5, Fairfield, OH 45014. The listed phone number is (513) 939-0300.

What is Mardi Fallon's specialty?

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

Is Mardi Fallon enrolled in Medicare?

Yes. Mardi Fallon 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.

Which organization bills Medicare for Mardi Fallon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mardi Fallon reassigns Medicare benefits to Northern Kentucky Mental Health Mental Retardation Regional Board (Covington, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mardi Fallon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mardi Fallon accept?

Health plans from Anthem Blue Cross and Blue Shield list Mardi Fallon 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 Mardi Fallon was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.