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BEVERLY FAIRHURST M.A., LCMHC, LCDP
NPI 1992780449
Counselor - Mental Health in East Providence, RI

Active since December 07, 2005
610 WAMPANOAG TRL, EAST PROVIDENCE, RI 02915(401) 431-9870(401) 435-7486 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beverly Fairhurst M.a., Lcmhc, Lcdp NPPES

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

BEVERLY FAIRHURST M.A., LCMHC, LCDP (NPI 1992780449) is an individual mental health provider in East Providence, Rhode Island, licensed in Rhode Island (80) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1992780449
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBEVERLY FAIRHURSTCredential: M.A., LCMHC, LCDP
Location Address610 WAMPANOAG TRLEast Providence, RI 02915-1504
Mailing Address7 Rocco AvePawtucket, RI 02860-5822 · (401) 725-2278
Phone(401) 431-9870
Fax(401) 435-7486
Sole ProprietorNo
Enumeration DateDecember 7, 2005
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1992780449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in RI · 80
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 00027 (RI)

Other Identifiers 4

Other406396RI · Blue Chip
MedicaidBF15322RI
Other30016-6RI · Blue Cross
Other62-34366RI · United

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.

MRS. CATHERINE LYNN BROWN MSW, LICSW
Social Worker (Clinical)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
MS. HOLLY LASKO LICSW
Social Worker (Clinical)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
CHRISTINE L ENOS LICSW
Social Worker (Clinical)
610 WAMPANOAG TRL
EAST PROVIDENCE, RI 02915
Providence County (401) 431-9870
MELISSA S PATTIE RN, BSN
Registered Nurse (Psychiatric/Mental Health)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
ROSE A GOULET LICSW
Social Worker (Clinical)
610 WAMPANOAG TRL
EAST PROVIDENCE, RI 02915
Providence County (401) 431-9870
KAREN LAST NURSE PRACTITIONER P
Nurse Practitioner (Psychiatric/Mental Health)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
MARSHALL BENJAMIN WOLD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
JAMES PINEL LMHC
Counselor (Mental Health)
610 WAMPANOAG TRL
EAST PROVIDENCE, RI 02915
Providence County (401) 431-9870

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 Beverly Fairhurst's NPI number?

The NPI number for Beverly Fairhurst is 1992780449. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Beverly Fairhurst located?

Beverly Fairhurst practices at 610 Wampanoag Trl, East Providence, RI 02915. The listed phone number is (401) 431-9870.

What is Beverly Fairhurst's specialty?

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

When was this NPI record last updated?

The NPPES record for Beverly Fairhurst was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.