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FAIRLIE MCCOLLOUGH ACSW
NPI 1760150726
Counselor - Mental Health in Los Angeles, CA

Active since September 02, 2021
470 E 3RD ST, SUITE C, LOS ANGELES, CA 90013(213) 620-5712 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2021, Nov 10, 2021, Sep 15, 2021 (3 updates tracked since 2021).

About Fairlie Mccollough Acsw NPPES

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

FAIRLIE MCCOLLOUGH ACSW (NPI 1760150726) is an individual mental health provider in Los Angeles, California, licensed in California (105404) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1760150726
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameFAIRLIE MCCOLLOUGHCredential: ACSW
Location Address470 E 3RD ST, SUITE CLos Angeles, CA 90013-1629
Mailing Address470 E 3rd St, Suite CLos Angeles, CA 90013-1629 · (213) 620-5712
Phone(213) 620-5712
Sole ProprietorNo
Enumeration DateSeptember 2, 2021
Last NPPES UpdateDecember 15, 20213 updates tracked since enumeration
NPPES CertifiedDecember 15, 2021
✔ NPI 1760150726 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 CA · 105404
470 E 3RD ST, Los Angeles, CA 90013
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MONA BEHROOZITOOSI
Student in an Organized Health Care Education/Training Program
470 E 3RD ST, C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-4712
MISS ANGELIQUE N EADY
Rehabilitation Practitioner
470 E 3RD ST, STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
LONISHA COLE
Licensed Vocational Nurse
470 E 3RD ST
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
CORISSA DANTE' SULLIVAN
Social Worker (Clinical)
470 E 3RD ST
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
RALPH RAMIREZ
Counselor (Addiction (Substance Use Disorder))
470 E 3RD ST
LOS ANGELES, CA 90013
Los Angeles County (213) 626-6411
RAFAEL VELASQUEZ
Counselor (Addiction (Substance Use Disorder))
470 E 3RD ST
LOS ANGELES, CA 90013
Los Angeles County (213) 626-6411
CHANIEL SMILEY
Case Manager/Care Coordinator
470 E 3RD ST
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
TAUREAN SIMMONS
Case Manager/Care Coordinator
470 E 3RD ST, SUITE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712

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 Fairlie Mccollough's NPI number?

The NPI number for Fairlie Mccollough is 1760150726. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Fairlie Mccollough located?

Fairlie Mccollough practices at 470 E 3rd St Suite C, Los Angeles, CA 90013. The listed phone number is (213) 620-5712.

What is Fairlie Mccollough'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 Fairlie Mccollough was last updated on December 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.