TARA KIM FAIRBANKS CAP - 207
NPI 1780402115
Counselor - Addiction (Substance Use Disorder) in Casper, WY

Active since October 03, 2024
1430 WILKINS CIR, CASPER, WY 82601(307) 237-9588 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tara Kim Fairbanks Cap - 207 NPPES

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

TARA KIM FAIRBANKS CAP - 207 (NPI 1780402115) is an individual addiction (substance use disorder) provider in Casper, Wyoming, licensed in Wyoming (207) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1780402115
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTARA KIM FAIRBANKSCredential: CAP - 207
Location Address1430 WILKINS CIRCasper, WY 82601-1336
Mailing Address2424 E 9th StCasper, WY 82609-2838 · (307) 267-7253
Sole ProprietorNo
Enumeration DateOctober 3, 2024
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
NPI 1780402115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WY · 207
1430 WILKINS CIR, Casper, WY 82601

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.

Registered Nurse
1430 WILKINS CIR
CASPER, WY 82601
Registered Nurse
1430 WILKINS CIR
CASPER, WY 82601
Nurse's Aide
1430 WILKINS CIR
CASPER, WY 82601
Registered Nurse
1430 WILKINS CIR
CASPER, WY 82601
Psychiatry & Neurology (Psychiatry)
1430 WILKINS CIR
CASPER, WY 82601
Social Worker (Clinical)
1430 WILKINS CIR
CASPER, WY 82601
Case Manager/Care Coordinator
1430 WILKINS CIR
CASPER, WY 82601
Registered Nurse
1430 WILKINS CIR
CASPER, WY 82601

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 Tara Fairbanks's NPI number?

The NPI number for Tara Fairbanks is 1780402115. It was assigned to this individual provider in the NPPES registry on October 3, 2024.

Where is Tara Fairbanks located?

Tara Fairbanks practices at 1430 Wilkins Cir, Casper, WY 82601. The listed phone number is (307) 237-9588.

What is Tara Fairbanks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tara Fairbanks was last updated on October 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.