Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Fairchild, LPC

Individual provider Mental Health Counselor · NPI 1225424286

Kimberly Fairchild, LPC is a Mental Health Counselor in Wautoma, Wisconsin. Qualified in 2010, 16 years ago. Practices with La Clinica De Los Campesinos, Inc, a 21-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2015
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

400 S Townline Rd
Wautoma, WI 54982-6922
Phone: (920) 787-5514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7129-125 (WI)

Record details

NPI number1225424286
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 7, 2015
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address1472 16th Ave, Arkdale, WI 54613-9624

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice La Clinica De Los Campesinos, Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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