PAUL DOUGLAS FAIRBANKS LCPC / LPC NPI 1356748578

NPI Information

  • NPI: 1356748578
  • Provider Name: PAUL DOUGLAS FAIRBANKS, LCPC / LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2200 E WILLIAMS FIELD RD STE 200
    GILBERT, AZ
    ZIP 85295
  • Phone: (815) 566-0466

Map and Directions

Get Directions

NPI Details

Paul Douglas Fairbanks, LCPC / LPC is a mental health counselor in Gilbert, AZ with 11 years of experience. Paul Douglas Fairbanks, LCPC / LPC NPI is 1356748578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2200 E WILLIAMS FIELD RD STE 200
GILBERT, AZ
ZIP 85295-764
Phone: (815) 566-0466

The NPI 1356748578 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/3/2014 and was last updated on 5/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional180011693ILLINOISNo
2101YM0800XCounselorMental HealthLPC-23438ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.