Organization Active NPI

Fairclough Consulting Services, LLC

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1679437453
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAIRCLOUGH CONSULTING SERVICES, LLC
Practice address
1300 S Jones Blvd
Las Vegas, NV 89146-1205
Phone
(561) 309-3507
Fax
(702) 975-1022
NPI assigned
Dec 15, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Keith Anthony Fairclough Jr., EDD, CPC, LMHC, ACSNPI 1831563097
Title
Ceo/Counselor
Phone
(561) 309-3507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1300 S Jones Blvd
Las Vegas, NV 89146-1205

Mailing address

9224 Tudor Park PL
Las Vegas, NV 89145-8726
Phone (561) 309-3507

National Provider Directory

National Provider Directory
Tax ID family
Fairclough Consulting Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 S Jones Blvd
Las Vegas, NV 89146
Phone (561) 309-3507

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1679437453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9224 TUDOR PARK PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458726",
            "telephone_number": "561-309-3507",
            "fax_number": "702-975-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461205",
            "telephone_number": "561-309-3507",
            "fax_number": "702-975-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRCLOUGH CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "FAIRCLOUGH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO/COUNSELOR",
        "authorized_official_telephone_number": "561-309-3507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "EDD, CPC, LMHC, ACS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.