Keith Anthony Fairclough Jr., LMHC, CPC, ACS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CP3002-R Issued in NV

Practice address

1300 S Jones Blvd Ste 250
Las Vegas, NV 89146-1210

Phone

(561) 309-3507

Fax

(702) 975-1022

NPI assigned

Nov 25, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairclough Consulting Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1346858024
  NPD Authorized official
• Fairclough Consulting Services, LLC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1679437453
  NPD Authorized official

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1831563097",
    "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 STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461210",
            "telephone_number": "561-309-3507",
            "fax_number": "702-975-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCLOUGH",
        "first_name": "KEITH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "LMHC, CPC, ACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-25",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15958",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP3002-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Fairchild, PRSSS
• Suzzane Michele Fairchild
• Jennifer Faircloth
• Fairclough Consulting Services, LLC
• Fairclough Consulting Services, LLC
• Denise L Fairley, CERTIFIED NURSING AS
• Jamar Fairley
• Jemila Mershea Fairley, AUD.
• Tiara Traje Fairley
• Shirley Fairly

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.