AMANDA FAIRBANKS
NPI 1942777107
Counselor in Longview, WA
- Individual
- Female
- Counselor
About AMANDA FAIRBANKS
This page provides the complete NPI Profile along with additional information for Amanda Fairbanks, a provider established in Longview, Washington with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1942777107 assigned on October 2018. The practitioner's primary taxonomy code is 101Y00000X with license number 60904653 (WA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1942777107 Verify this NPI
- Provider Name
- AMANDA FAIRBANKS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 720 14TH AVE LONGVIEW, WA 98632
- Location Phone
- (360) 423-0203
- Location Fax
- (360) 577-0269
- Mailing Address
- PO BOX 1847 LONGVIEW, WA 98632
- Mailing Phone
- (360) 423-0203
- Mailing Fax
- (360) 577-0269
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-25-2018
- Last Update Date
- 11-07-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 60904653
- License State
- WA
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2140647 | MEDICAID (05) | WA |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LONGVIEW, WA 98632
LONGVIEW, WA 98632
LONGVIEW, WA 98632
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942777107, enumerated as an "individual" on October 25, 2018.
The provider is located at 720 14TH AVE LONGVIEW, WA 98632 and the phone number is (360) 423-0203.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
