Active NPI
Beverly Fairhurst, M.A., LCMHC, LCDP
- Mental Health Counselor
- East Providence, RI
National Provider Identifier
1992780449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 80
- Practice address
- 610 Wampanoag TRL
East Providence, RI 02915-1504 - Phone
- (401) 431-9870
- Fax
- (401) 435-7486
- NPI assigned
- Dec 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00027 | RI | |
| Mental Health Counselor | 101YM0800X | 80 | RI | Primary |
Addresses
Primary practice location
610 Wampanoag TRL
East Providence, RI 02915-1504
Mailing address
7 Rocco Ave
Pawtucket, RI 02860-5822
Phone (401) 725-2278
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406396 | Other | RI | BLUE CHIP |
| BF15322 | Medicaid | RI | |
| 30016-6 | Other | RI | BLUE CROSS |
| 62-34366 | Other | RI | UNITED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00027 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| 80 | RI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1992780449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ROCCO AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605822",
"telephone_number": "401-725-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 WAMPANOAG TRL",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029151504",
"telephone_number": "401-431-9870",
"fax_number": "401-435-7486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRHURST",
"first_name": "BEVERLY",
"credential": "M.A., LCMHC, LCDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "00027",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "80",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "406396",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BF15322",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "30016-6",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "62-34366",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.