MS. JANICE LYNN FAIRBANK LPC, LIAC, SAP, LMHC
NPI 1255051298
Counselor - Mental Health in Garden City, ID

Active since August 30, 2022PECOS EnrolledAccepts Medicare Assignment
8343 WILLOWPARK DR, GARDEN CITY, ID 83714(954) 366-9978 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, Jul 27, 2026, Mar 25, 2026 and 3 more (6 updates tracked since 2022).

About Ms. Janice Lynn Fairbank Lpc, Liac, Sap, Lmhc NPPES

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

MS. JANICE LYNN FAIRBANK LPC, LIAC, SAP, LMHC (NPI 1255051298) is an individual mental health provider in Garden City, Idaho, licensed in Idaho (LCPC-8471063) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255051298
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JANICE LYNN FAIRBANKCredential: LPC, LIAC, SAP, LMHC
Location Address8343 WILLOWPARK DRGarden City, ID 83714-1676
Mailing Address8343 Willowpark DrGarden City, ID 83714-1676 · (602) 488-7417
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 30, 2022
Last NPPES UpdateAugust 18, 20266 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1255051298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in ID · LCPC-8471063✔ Licensed in MT · BBH-LCPC-LIC-90419✔ Licensed in WA · MHC.LH.70013113
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LIAC-15597 (AZ)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CTB-2026-0500 (NM), LPC-23937 (AZ)
8343 WILLOWPARK DR, Garden City, ID 83714

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Janice Lynn Fairbank Lpc, Liac, Sap, Lmhc 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 ID8426598566
PECOS Enrollment IDI20240904002876
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Janice Fairbank reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
11024 N 28TH DR, SUITE 200
Phoenix, AZ 85029
  • Reassigned Medicare billing, Arizona enrollment
  • 11 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Arizona enrollment
  • 99 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Janice Fairbank's NPI number?

The NPI number for Janice Fairbank is 1255051298. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Janice Fairbank located?

Janice Fairbank practices at 8343 Willowpark Dr, Garden City, ID 83714. The listed phone number is (954) 366-9978.

What is Janice Fairbank's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Janice Fairbank enrolled in Medicare?

Yes. Janice Fairbank 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.

Which organizations bill Medicare for Janice Fairbank's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janice Fairbank reassigns Medicare benefits to 2 organizations: Integrative Psychotherapy And Assessment Services (Phoenix, AZ) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Janice Fairbank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janice Fairbank accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and Moda Health Plan, Inc. and 4 other insurers list Janice Fairbank 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 Janice Fairbank was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.