MR. JOSEPH FAIRBANKS (NPI# 1073507067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073507067 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH FAIRBANKS |
| Credential | LPC, CEAP, NCC |
| Practice Address |
190 Gardner Ave Ste 3 Burlington WI 53105-2160 |
| Practice Telephone | 2627637766 |
| Practice Fax Number | 2627639326 |
| Mailing Telephone | 2627637766 |
| Mailing Fax Number | 2627639326 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2011-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2954-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | LICENSE # | 2954-125 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689903973 | Joseph Stanley Fairbanks | Massage Therapist | 7111 Stephanie Ln, Lincoln, NE 68516-5300 | 2009-12-15 |
| 1750488375 | Joseph George Fairbanks | Dentist | 950 25th St, Suite A, Ogden, UT 84401-2606 | 2006-09-17 |
| Street Address |
190 GARDNER AVE STE 3 |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487646436 | Laura Tooran Mirhoseini | Psychologist | 190 Gardner Ave Ste 3, Burlington, WI 53105-2160 | 2005-08-16 |
| 1376062851 | Rosita M Fernandez | Psychologist | 190 Gardner Ave Ste 3, Burlington, WI 53105-2160 | 2017-09-15 |
| 1215279088 | Moosa Kaleemullah | Psychiatry & Neurology | 190 Gardner Ave Ste 3, Burlington, WI 53105 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443209 | Healing Dialogue LLC | Counselor | 156 Deer Run, Burlington, CT 06013-1828 | 2020-07-06 |
| 1154964054 | Rebecca Jeanette Paruszkiewicz | Counselor | 1531 N English Settlement Ave, Burlington, WI 53105-9725 | 2019-10-23 |
| 1003475716 | Laurie S Bowers | Counselor | 323 Thistle Downs Dr, Burlington, NC 27215-7037 | 2019-06-07 |
| 1922662147 | Rochelle R Graham | Counselor | 1 Latimer Way, Burlington, NJ 08016-0801 | 2019-04-23 |
| 1588169528 | Rachel Lucille Hopkins | Counselor | 350 Holly Hill Ln Ste B, Burlington, NC 27215-5691 | 2018-03-29 |
| 1104378975 | Forward Journey Pllc | Counselor | 205 E Davis St, Burlington, NC 27215-5987 | 2016-10-27 |
| 1932566643 | Matthew Jay Mcniven | Counselor | 3928 Road 9, Burlington, WY 82411-9731 | 2016-01-26 |
| 1942623467 | Roxana Brand | Counselor | 211 Tarpley St, Burlington, NC 27215-3774 | 2014-02-04 |
| 1215358296 | Brenda Walker | Counselor | 236 N Mebane St Ste 101, Burlington, NC 27217-3966 | 2013-12-18 |
| 1700195377 | Sammie F Burnette | Counselor | 1636 Robin Hood Dr, Burlington, NC 27217-8743 | 2010-09-30 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
Please comment or provide details below to improve the information on MR. JOSEPH FAIRBANKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.