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MRS. NICOLE EVE FAYARD LCPC
NPI 1487955589
Counselor in Poolesville, MD

Active since November 06, 2010Opted out of Medicare · through Apr 17, 2027
19662 WOOTTON AVE, SUITE 203, POOLESVILLE, MD 20837(240) 271-7689 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Nicole Eve Fayard Lcpc NPPES

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

MRS. NICOLE EVE FAYARD LCPC (NPI 1487955589) is an individual counselor in Poolesville, Maryland, licensed in Maryland (LC3474) and active in the NPI registry since November 2010. She has opted out of Medicare through April 17, 2027.

NPPES Registry Identity

NPI1487955589
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. NICOLE EVE FAYARDCredential: LCPC
Location Address19662 WOOTTON AVE, SUITE 203Poolesville, MD 20837-3003
Mailing Address19662 Wootton Ave, Suite 203Poolesville, MD 20837-3003 · (240) 271-7689
Phone(240) 271-7689
Sole ProprietorNo
Enumeration DateNovember 6, 2010
Last NPPES UpdateMay 3, 2017
✔ NPI 1487955589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MD · LC3474
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.
19662 WOOTTON AVE, Poolesville, MD 20837
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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

Mrs. Nicole Eve Fayard Lcpc 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 April 17, 2025 through April 17, 2027.

Opt-Out Effective DateApril 17, 2025
Opt-Out In Effect ThroughApril 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Nicole Fayard's NPI number?

The NPI number for Nicole Fayard is 1487955589. It was assigned to this individual provider in the NPPES registry on November 6, 2010.

Where is Nicole Fayard located?

Nicole Fayard practices at 19662 Wootton Ave Suite 203, Poolesville, MD 20837. The listed phone number is (240) 271-7689.

What is Nicole Fayard's specialty?

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

Is Nicole Fayard enrolled in Medicare?

No. Nicole Fayard has opted out of Medicare through April 17, 2027. 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 Nicole Fayard was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.