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DR. KEITH ANTHONY FAIRCLOUGH JR. LMHC, CPC, ACS
NPI 1831563097
Counselor - Mental Health in Las Vegas, NV

Active since November 25, 2015PECOS Enrolled
1300 S JONES BLVD STE 250, LAS VEGAS, NV 89146(561) 309-3507(702) 975-1022 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 27, 2026, Nov 25, 2015 (2 updates tracked since 2015).

About Dr. Keith Anthony Fairclough Jr. Lmhc, Cpc, Acs NPPES

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

DR. KEITH ANTHONY FAIRCLOUGH JR. LMHC, CPC, ACS (NPI 1831563097) is an individual mental health provider in Las Vegas, Nevada, licensed in Nevada (CP3002-R) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1831563097
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. KEITH ANTHONY FAIRCLOUGH JR.Credential: LMHC, CPC, ACS
Location Address1300 S JONES BLVD STE 250Las Vegas, NV 89146-1210
Mailing Address9224 Tudor Park PlLas Vegas, NV 89145-8726 · (561) 309-3507 · Fax (702) 975-1022
Phone(561) 309-3507
Fax(702) 975-1022
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 25, 2015
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1831563097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NV · CP3002-R✔ Licensed in FL · MH15958
1300 S JONES BLVD STE 250, Las Vegas, NV 89146
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith Anthony Fairclough Jr. Lmhc, Cpc, Acs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284193962
PECOS Enrollment IDI20260824001556
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 Reassignment

Medicare enrollment records show Keith Fairclough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

A Better Option Healthcare Inc
0.9 mi
Psychiatric/Mental Health
112 S JONES BLVD
Las Vegas, NV 89107
  • Reassigned Medicare billing, Nevada enrollment
  • 9 clinicians in this Medicare group
NPI 1285155325 (703) 239-3370

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 Keith Fairclough's NPI number?

The NPI number for Keith Fairclough is 1831563097. It was assigned to this individual provider in the NPPES registry on November 25, 2015.

Where is Keith Fairclough located?

Keith Fairclough practices at 1300 S Jones Blvd Ste 250, Las Vegas, NV 89146. The listed phone number is (561) 309-3507.

What is Keith Fairclough's specialty?

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

Is Keith Fairclough enrolled in Medicare?

Yes. Keith Fairclough is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keith Fairclough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Fairclough reassigns Medicare benefits to A Better Option Healthcare Inc (Las Vegas, NV). The 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 Keith Fairclough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Fairclough accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health and UnitedHealthcare list Keith Fairclough 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 Keith Fairclough was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.