Mari Gwyn Anderson Fairchild, LADC
NPI 1487596409ActiveIndividual· Counselor, Mental Health· Minnetonka, MN
Counselor, Mental Health (LADC) in Minnetonka, Minnesota, licensed in MN, with an NPI issued in April 2026.
Overview
| NPI | 1487596409 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LADC |
| Sole proprietor | No |
| NPI issued | Apr 8, 2026 |
| Last updated in NPPES | Aug 17, 2026 |
| Certified by provider | Aug 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 5770 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 307588 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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