JASON LEE FAIRWEATHER LPC, SACIT, CSIT
NPI 1689278590
Counselor - Professional in Berlin, WI

Active since November 23, 2020PECOS EnrolledAccepts Medicare Assignment
553 BROADWAY, BERLIN, WI 54923(920) 204-6590 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2023, Jan 8, 2021, Nov 23, 2020 (3 updates tracked since 2020).

About Jason Lee Fairweather Lpc, Sacit, Csit NPPES

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

JASON LEE FAIRWEATHER LPC, SACIT, CSIT (NPI 1689278590) is an individual professional provider in Berlin, Wisconsin, licensed in Wisconsin (10532-125) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689278590
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJASON LEE FAIRWEATHERCredential: LPC, SACIT, CSIT
Location Address553 BROADWAYBerlin, WI 54923-1323
Mailing Address553 BroadwayBerlin, WI 54923-1323 · (920) 204-6590
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 23, 2020
Last NPPES UpdateSeptember 26, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
NPI 1689278590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 10532-125
553 BROADWAY, Berlin, WI 54923

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jason Lee Fairweather Lpc, Sacit, Csit is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466804075
PECOS Enrollment IDI20240119000724
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.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
553 BROADWAY
BERLIN, WI 54923

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 Jason Fairweather's NPI number?

The NPI number for Jason Fairweather is 1689278590. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Jason Fairweather located?

Jason Fairweather practices at 553 Broadway, Berlin, WI 54923. The listed phone number is (920) 204-6590.

What is Jason Fairweather's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jason Fairweather enrolled in Medicare?

Yes. Jason Fairweather is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jason Fairweather accept?

Health plans from Medica, Network Health, Quartz and UnitedHealthcare list Jason Fairweather as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Fairweather was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.