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MS. JENNIFER FAIRBOURN MS, LMFT
NPI 1992977383
Marriage & Family Therapist in Midvale, UT

Active since March 26, 2008PECOS EnrolledAccepts Medicare Assignment
7321 S STATE ST, SUITE A, MIDVALE, UT 84047(801) 878-4327(801) 878-9280 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Jennifer Fairbourn Ms, Lmft NPPES

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

MS. JENNIFER FAIRBOURN MS, LMFT (NPI 1992977383) is an individual marriage & family therapist in Midvale, Utah, licensed in Utah (7007405-3902) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1992977383
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. JENNIFER FAIRBOURNCredential: MS, LMFT
Location Address7321 S STATE ST, SUITE AMidvale, UT 84047-2055
Mailing Address7321 S State St, Suite AMidvale, UT 84047-2055 · (801) 878-4327 · Fax (801) 878-9280
Phone(801) 878-4327
Fax(801) 878-9280
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 26, 2008
Last NPPES UpdateFebruary 9, 2016
✔ NPI 1992977383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in UT · 7007405-3902
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
7321 S STATE ST, Midvale, UT 84047
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jennifer Fairbourn Ms, Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173990546
PECOS Enrollment IDI20240116002397
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 Jennifer Fairbourn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jennifer Fairbourn Lmft, LLC
Same address
Mental Health
7321 S STATE ST STE A
Midvale, UT 84047
  • Reassigned Medicare billing, Utah enrollment
  • 9 clinicians in this Medicare group
NPI 1356826036 (801) 878-4327

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH A LEVER D.D.S
Dentist (General Practice)
7321 S STATE ST, STE #C
MIDVALE, UT 84047
Salt Lake County (801) 255-2514
KENNETH L HENNEFER AND ASSOCIATES, LLC
Social Worker (Clinical)
7321 S STATE ST, SUITE AB
MIDVALE, UT 84047
Salt Lake County (801) 352-2844
CHRYSALIS COUNSELING CENTER, L.L.C.
Social Worker (Clinical)
7321 S STATE ST, SUITE B
MIDVALE, UT 84047
Salt Lake County (801) 808-9311
KENNETH LAKE HENNEFER LCSW
Counselor (Mental Health)
7321 S STATE ST, STE A-B
MIDVALE, UT 84047
Salt Lake County (801) 352-2844
GLEN STEENBLIK LCSW
Social Worker (Clinical)
7321 S STATE ST, #AB
MIDVALE, UT 84047
Salt Lake County (801) 587-3954
KIRK RAY READ L.C.S.W
Social Worker (Clinical)
7321 S STATE ST, SUITE B
MIDVALE, UT 84047
Salt Lake County (801) 808-9311

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 Jennifer Fairbourn's NPI number?

The NPI number for Jennifer Fairbourn is 1992977383. It was assigned to this individual provider in the NPPES registry on March 26, 2008.

Where is Jennifer Fairbourn located?

Jennifer Fairbourn practices at 7321 S State St Suite A, Midvale, UT 84047. The listed phone number is (801) 878-4327.

What is Jennifer Fairbourn's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jennifer Fairbourn enrolled in Medicare?

Yes. Jennifer Fairbourn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Fairbourn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Fairbourn reassigns Medicare benefits to Jennifer Fairbourn Lmft, LLC (Midvale, UT). 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 Jennifer Fairbourn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Fairbourn accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Jennifer Fairbourn 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 Jennifer Fairbourn was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.