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STACEY FAIR LPC
NPI 1649085176
Counselor - Mental Health in Superior, CO

Active since February 11, 2025PECOS Enrolled
2937 W YARROW CIR, SUPERIOR, CO 80027(919) 355-5035 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stacey Fair Lpc NPPES

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

STACEY FAIR LPC (NPI 1649085176) is an individual mental health provider in Superior, Colorado, licensed in Colorado (LPC.0021374) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649085176
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACEY FAIRCredential: LPC
Location Address2937 W YARROW CIRSuperior, CO 80027-6000
Mailing Address2937 W Yarrow CirSuperior, CO 80027-6000 · (919) 355-5035
Phone(919) 355-5035
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
✔ NPI 1649085176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · LPC.0021374
2937 W YARROW CIR, Superior, CO 80027
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Fair Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628543436
PECOS Enrollment IDI20260409001576
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Stacey Fair's NPI number?

The NPI number for Stacey Fair is 1649085176. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is Stacey Fair located?

Stacey Fair practices at 2937 W Yarrow Cir, Superior, CO 80027. The listed phone number is (919) 355-5035.

What is Stacey Fair's specialty?

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

Is Stacey Fair enrolled in Medicare?

Yes. Stacey Fair is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Fair was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.