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FAIRBANKS PSYCHOTHERAPY LLC
NPI 1821937749
Social Worker - Clinical in Chester, NJ

Active since March 26, 2026
443 FOX CHASE RD, CHESTER, NJ 07930(610) 304-2440 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2026, Mar 26, 2026 (2 updates tracked since 2026).

About Fairbanks Psychotherapy Llc NPPES

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

FAIRBANKS PSYCHOTHERAPY LLC (NPI 1821937749) is a healthcare organization registered as a clinical in Chester, New Jersey and active in the NPI registry since March 2026. The organization lists Courtney Fairbanks, Owner, as its authorized official.

NPPES Registry Identity

NPI1821937749
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFAIRBANKS PSYCHOTHERAPY LLC
Location Address443 FOX CHASE RDChester, NJ 07930-3122
Mailing Address443 Fox Chase RdChester, NJ 07930-3122 · (610) 304-2440
Phone(610) 304-2440
Organization SubpartNo
Authorized OfficialCourtney FairbanksOwner · (610) 304-2440
Enumeration DateMarch 26, 2026
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1821937749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
443 FOX CHASE RD, Chester, NJ 07930
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairbanks Psychotherapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fairbanks Psychotherapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Courtney Fairbanks, MSW, LSW
Clinical Social Worker
NPI 1619498862
1 DIAMOND HILL RD
Berkeley Heights, NJ 07922
(908) 273-4300
✔ PECOS✔ Accepts Medicare15 mi

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 Fairbanks Psychotherapy LLC's NPI number?

The NPI number for Fairbanks Psychotherapy LLC is 1821937749. It was assigned to this organization in the NPPES registry on March 26, 2026.

Where is Fairbanks Psychotherapy LLC located?

Fairbanks Psychotherapy LLC is located at 443 Fox Chase Rd, Chester, NJ 07930. The listed phone number is (610) 304-2440.

What is Fairbanks Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Fairbanks Psychotherapy LLC enrolled in Medicare?

Yes. Fairbanks Psychotherapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairbanks Psychotherapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Fairbanks Psychotherapy LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fairbanks Psychotherapy LLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.