Michelle Fairbank, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MICHELLE FAIRBANK, LLC

Doing business as

Michelle Fairbank, LLC

Practice address

2703 Hall St Ste 13
Hays, KS 67601-1964

Phone

(785) 261-0694

Fax

(785) 261-0697

NPI assigned

May 2, 2024

Last updated

May 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Fairbank, LCPC, LMACNPI 1982045613

Title

Mental Health Provider

Phone

(785) 261-0694

Specialties & licenses 1

Addresses

Other names 1

• Michelle Fairbank, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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.

• Michelle D. Fairbank, LCPC-S, LMAC

  • Professional Counselor
  • Hays, KS
  • NPI 1982045613

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1760239354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 HALL ST STE 13",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011964",
            "telephone_number": "785-261-0694",
            "fax_number": "785-261-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 HALL ST STE 13",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011964",
            "telephone_number": "785-261-0694",
            "fax_number": "785-261-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE FAIRBANK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "FAIRBANK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MENTAL HEALTH PROVIDER",
        "authorized_official_telephone_number": "785-261-0694",
        "authorized_official_credential": "LCPC, LMAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Fairbank, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose V Menendez, M.D.
• Angela Marie Mermis
• Deonna Meyers
• Susan Meyers, LPC
• Michael a Hattan OD
• Midwest Drug, Inc.
• Cecily Nicole Miller, LMSW
• Craig E. Miller, DDS
• Jaqueline Miller
• Kelly D Miller, A.P.R.N.

• Mental Health Counselor in Hays, KS
• Providers in Hays, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.