Provider Type Icon

MARTHA FAIRLEY MA LPC LMHCA NPI 1467981050


NPI Information

NPI: 1467981050
Provider Name: MARTHA FAIRLEY, MA, LPC, LMHCA
Classification: Counselor - 101Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
982 E COLUMBIA AVE STE 201
COLVILLE, WA
ZIP 99114
Phone: (509) 685-5000
Get Directions

Martha Fairley, MA, LPC, LMHCA is a counselor in Colville, WA. The provider is 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. Martha Fairley, MA, LPC, LMHCA NPI is 1467981050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

982 E COLUMBIA AVE STE 201
COLVILLE, WA
ZIP 99114-316
Phone: (509) 685-5000

The NPI 1467981050 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 6/7/2017 and was last updated on 3/3/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorMC60864281WASHINGTONYes
2101YM0800XCounselorMental HealthMC60864281WASHINGTONNo
3101YM0800XCounselorMental HealthLPC-6745IDAHONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MC60864281OTHERWASHINGTONWASHINGTON DEPARTMENT OF HEALTH
2LPC-6745OTHERIDAHOIDAHO BUREAU OF OCCUPATIONAL LICENSES

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: 4/28/2024

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.