MARDI KAY FALLON LPCC-S
NPI 1255535092
Counselor - Mental Health in Fairfield, OH
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
Specialties & Licenses 2
Secondary Practice Location 1
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.
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.
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.
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.