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JESSE FAIRCHILD LLC
NPI 1467724013
Counselor - Mental Health in North East, MD

Active since January 29, 2012
2057 PULASKI HWY STE 4, NORTH EAST, MD 21901(443) 877-4044(443) 967-0077 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse Fairchild Llc NPPES

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

JESSE FAIRCHILD LLC (NPI 1467724013), doing business as Bodhi, is a healthcare organization registered as a mental health in North East, Maryland and active in the NPI registry since January 2012. The organization lists Janice Leslie Fairchild Chavero, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1467724013
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameJESSE FAIRCHILD LLC
Location Address2057 PULASKI HWY STE 4North East, MD 21901-3744
Mailing Address2057 Pulaski Hwy Ste 4North East, MD 21901-3744 · (443) 877-4044
Phone(443) 877-4044
Fax(443) 967-0077
Organization SubpartNo
Authorized OfficialJanice Leslie Fairchild ChaveroPractice Owner · (443) 877-4044
Enumeration DateJanuary 29, 2012
Last NPPES UpdateJanuary 10, 2026
NPPES CertifiedJanuary 10, 2026
✔ NPI 1467724013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC2857
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedArt TherapistTaxonomy 221700000X
2057 PULASKI HWY STE 4, North East, MD 21901
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Other Names 2

Doing Business AsBodhi
Doing Business AsBodhi Counseling

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

AUTUMN RUFENER
Social Worker
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Cecil County (443) 877-4044
NICOLE NIMMONS LMFT
Marriage & Family Therapist
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Cecil County (443) 877-4044
RYAN AIDAN LUNDERGAN LGPC
Counselor (Professional)
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Cecil County (443) 877-4044
KASEY LYNN SELTNER LGPC
Counselor (Professional)
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Cecil County (443) 877-4044
DR. JOY LOUISE HIMMEL PSY.D
Counselor (Professional)
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Cecil County (443) 877-4044
ANN GONZALEZ LMSW
Social Worker (Clinical)
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Cecil County (732) 599-9932
KAYLA PAIGE LIPSON LGPC
Counselor (Mental Health)
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Cecil County (443) 877-4044
MRS. MELISSA REINER LCPC
Counselor (Professional)
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Cecil County (443) 877-4044

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 Jesse Fairchild LLC's NPI number?

The NPI number for Jesse Fairchild LLC is 1467724013. It was assigned to this organization in the NPPES registry on January 29, 2012. The provider is doing business as Bodhi and Bodhi Counseling.

Where is Jesse Fairchild LLC located?

Jesse Fairchild LLC is located at 2057 Pulaski Hwy Ste 4, North East, MD 21901. The listed phone number is (443) 877-4044.

What is Jesse Fairchild LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jesse Fairchild LLC was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.