FAIRMOUNT MENTAL WELLNESS LLC
NPI 1366928863
Counselor - Mental Health in South Euclid, OH
About Fairmount Mental Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRMOUNT MENTAL WELLNESS LLC (NPI 1366928863) is a healthcare organization registered as a mental health in South Euclid, Ohio and active in the NPI registry since July 2018. The organization lists Richard Dempsey, Therapist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fairmount Mental Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fairmount Mental Wellness LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fairmount Mental Wellness LLC's NPI number?
The NPI number for Fairmount Mental Wellness LLC is 1366928863. It was assigned to this organization in the NPPES registry on July 17, 2018.
Where is Fairmount Mental Wellness LLC located?
Fairmount Mental Wellness LLC is located at 4497 Birchwold Rd, South Euclid, OH 44121. The listed phone number is (216) 435-1235.
What is Fairmount Mental Wellness LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Fairmount Mental Wellness LLC enrolled in Medicare?
Yes. Fairmount Mental Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fairmount Mental Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Fairmount Mental Wellness LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fairmount Mental Wellness LLC was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Fairmount Mental Wellness Llc · NPI 1366928863
Mental Health organization in South Euclid, Ohio. Organization record, active in the CMS NPPES registry since July 17, 2018.
## Identity
- **NPI:** 1366928863 (Entity type: Organization)
- **Enumerated:** July 17, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Richard Dempsey, THERAPIST/OWNER
## Practice location
- **Address:** 4497 BIRCHWOLD RD, South Euclid, OH 44121-4215
- **Phone:** (216) 435-1235
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366928863) · Data from the CMS NPPES public registry.