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Active NPI 1144199837 Individual Practitioner Female Practitioner

Jaida Serenityrain Fackey

Counselor - Professional • Mason, OH

Professional Overview & Biography Verified Profile Summary

Jaida Fackey is a registered healthcare professional specializing in Counselor - Professional in Mason, OH. Practice services are available at 5386 COX SMITH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5386 Cox Smith Rd

Mason, OH 450406803

Telephone 5139725120

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Mason, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
59 Specialists

Practicing in Mason, OH (6923 Statewide)

Telehealth Adoption Rate
5.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-22
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH C.2507243-TRNE

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Lillie Quarles

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083382469
Emily Brisben , CT

Counselor - Mental Health

NPI 1316805088
Haley Dobrzynski , LPC

Counselor - Professional

NPI 1710617667

Licensed Professional Counselor

Kali Scott , LPCC

Counselor - Mental Health

NPI 1922595750

Licensed Professional Clinical Counselor

Emily Lobenstein , LPCC

Counselor - Mental Health

NPI 1982350948

Licensed Professional Clinical Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2025

Counselor (License #C.2507243-TRNE in OH)

NPI Profile Active November 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2025

Registered at 5386 COX SMITH RD, MASON, OH 450406803 (Tel: 5139725120)

📍
Updated Business Mailing Address November 01, 2025

Registered at 4682 KIRBY AVE, CINCINNATI, OH 452231544

👤
Provider Name / Credentials Updated November 01, 2025

Recorded as JAIDA FACKEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 01, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144199837
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2025
Last Update: December 22, 2025
Sole Proprietor: Yes

Mailing Address

4682 Kirby Ave

Cincinnati, OH 452231544

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.