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JESSICA FAIRFAX LMFT
NPI 1396264065
Counselor in Simpsonville, SC

Active since September 14, 2017Opted out of Medicare · through Jan 13, 2028
205 BRYCE CIR STE B, SIMPSONVILLE, SC 29681(864) 408-8949 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2021, Mar 17, 2018, Feb 12, 2018 and 1 more (4 updates tracked since 2017).

About Jessica Fairfax Lmft NPPES

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

JESSICA FAIRFAX LMFT (NPI 1396264065) is an individual counselor in Simpsonville, South Carolina and active in the NPI registry since September 2017. She has opted out of Medicare through January 13, 2028.

NPPES Registry Identity

NPI1396264065
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJESSICA FAIRFAXCredential: LMFT
Location Address205 BRYCE CIR STE BSimpsonville, SC 29681-4842
Mailing Address205 Bryce Cir Ste BSimpsonville, SC 29681-4842 · (864) 408-8949
Phone(864) 408-8949
Sole ProprietorYes
Enumeration DateSeptember 14, 2017
Last NPPES UpdateDecember 30, 20214 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
✔ NPI 1396264065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
205 BRYCE CIR STE B, Simpsonville, SC 29681
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Fairfax Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 13, 2024 through January 13, 2028.

Opt-Out Effective DateJanuary 13, 2024
Opt-Out In Effect ThroughJanuary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

BAKER THERAPEUTIC SERVICES LLC
Community/Behavioral Health
205 BRYCE CIR STE B
SIMPSONVILLE, SC 29681
Greenville County (864) 810-0490
MICHAEL DAVID BAKER M.ED, LPC, CAC II, N
Counselor (Professional)
205 BRYCE CIR STE B
SIMPSONVILLE, SC 29681
Greenville County (864) 810-0490
ASHA MCMILLIAN COUNSELING AND CONSULTING, LLC
Counselor (Mental Health)
205 BRYCE CIR STE B
SIMPSONVILLE, SC 29681
Greenville County (864) 334-7424

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 Jessica Fairfax's NPI number?

The NPI number for Jessica Fairfax is 1396264065. It was assigned to this individual provider in the NPPES registry on September 14, 2017.

Where is Jessica Fairfax located?

Jessica Fairfax practices at 205 Bryce Cir Ste B, Simpsonville, SC 29681. The listed phone number is (864) 408-8949.

What is Jessica Fairfax's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jessica Fairfax enrolled in Medicare?

No. Jessica Fairfax has opted out of Medicare through January 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Fairfax was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.