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

Q: 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.

Q: What is Mardi Fallon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mardi Fallon was last updated on July 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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

Phone(513) 939-0300

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

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Secondary Practice Location 1

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

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

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.

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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.

MS. JESSICA CARAS LPC

Counselor (Professional)