JESSE FAIRCHILD LLC
NPI 1467724013
Counselor - Mental Health in North East, MD
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
Specialties & Licenses 4
Other Names 2
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)
Jesse Fairchild Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Jesse Fairchild LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 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.
Is Jesse Fairchild LLC enrolled in Medicare?
Yes. Jesse Fairchild LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jesse Fairchild LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Jesse Fairchild 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. The largest specialties are Clinical Social Worker (4) and Mental Health Counselor (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 9 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.
# Jesse Fairchild Llc · NPI 1467724013
Mental Health organization in North East, Maryland. Organization record, active in the CMS NPPES registry since January 29, 2012.
## Identity
- **NPI:** 1467724013 (Entity type: Organization)
- **Enumerated:** January 29, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Also known as:** Bodhi (Doing Business As); Bodhi Counseling (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Janice Fairchild Chavero, PRACTICE OWNER
## Practice location
- **Address:** 2057 PULASKI HWY STE 4, North East, MD 21901-3744
- **Phone:** (443) 877-4044 · **Fax:** (443) 967-0077
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (4), Mental Health Counselor (2); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1467724013) · Data from the CMS NPPES public registry.