Evan Fairbourn is a Mental Health Counselor practicing in Seattle, Washington. The National Provider Identifier (NPI) is #1174390876, which was assigned on December 4, 2023, and the registration record was last updated on January 13, 2025. The practitioner's main practice location is at 1600 S Lane St, Seattle, WA 98144-2810; the contact telephone number is 2066822371. The primary taxonomy of Evan Fairbourn is Mental Health Counselor (101YM0800X), with specialization in Mental Health.
| NPI | 1174390876 |
| Entity Type | Individual |
| Provider Name | EVAN FAIRBOURN |
| Gender | Male |
| Practice Address |
1600 S Lane St Seattle WA 98144-2810 |
| Practice Telephone | 2066822371 |
| Mailing Address |
325 W Gowe St Kent WA 98032-5892 |
| Mailing Telephone | 2538337444 |
| Certification Date | 2025-01-13 |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2025-01-13 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 101YM0800X | Counselor | Mental Health |
| Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| Classification | Counselor |
| Specialization | Mental Health |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: Definition to come... |
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|---|---|---|---|
| Jason Richard Leito | 1814 8th Ave, Fort Worth, TX 76110-1354 | Mental Health Counselor | 2025-03-08 |
| Karli Henning LLC | 2235 Skyline Dr Nw, Grand Rapids, MI 49504-5989 | Mental Health Counselor | 2025-03-08 |
| Sarah Fuchs-Voit | 1811 W North Ave Ste 402, Chicago, IL 60622-0204 | Mental Health Counselor | 2025-03-07 |
| Rachel Lynne Jernas | 401 W Eads Pkwy Ste 450, Lawrenceburg, IN 47025-1376 | Mental Health Counselor | 2025-03-08 |
| Natalie Cummins | 4502 Schenley Rd # 100a, Baltimore, MD 21210-2524 | Mental Health Counselor | 2025-03-08 |
| Jordan Bowen | 1600 N Lorraine St Ste 202, Hutchinson, KS 67501-5600 | Mental Health Counselor | 2025-03-08 |
| Kendra Yancey | 5610 W Donner Ave, Fresno, CA 93722-3721 | Mental Health Counselor | 2025-03-08 |
| Infinite Psychology | 14918 El Grande Dr, Houston, TX 77083-3223 | Mental Health Counselor | 2025-03-08 |
| Inner Purpose Counseling LLC | 600 E Carmel Dr Ste 120, Carmel, IN 46032-3049 | Mental Health Counselor | 2025-03-08 |
| Stephanie Hinojosa | 6021 Fairmont Pkwy Ste 200, Pasadena, TX 77505-4511 | Mental Health Counselor | 2025-03-08 |
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| Street Address |
325 W GOWE ST |
| City | KENT |
| State | WA |
| Zip Code | 98032-5892 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Vance Holtzinger | 325 W Gowe St, Kent, WA 98032-5892 | Counselor | 2024-05-08 |
| Luciana Antunez | 325 W Gowe St, Kent, WA 98032-5892 | Counselor | 2023-12-04 |
| Cara Scott | 325 W Gowe St, Kent, WA 98032-5892 | Counselor | 2024-08-19 |
| Tristan Duque | 325 W Gowe St, Kent, WA 98032-5892 | Counselor | 2023-11-30 |
| Caitlin Mcdonald | 325 W Gowe St, Kent, WA 98032-5892 | Counselor | 2024-10-12 |
| Jennifer Harvey Hart | 325 W Gowe St, Kent, WA 98032-5892 | Addiction (Substance Use Disorder) Registered Nurse | 2023-12-20 |
| Emma Pinti | 325 W Gowe St, Kent, WA 98032-5892 | Counselor | 2024-10-09 |
| Alexandra Kennedy | 325 W Gowe St, Kent, WA 98032-5892 | Counselor | 2024-12-03 |
| Jowhara Ahmed | 325 W Gowe St, Kent, WA 98032-5892 | Counselor | 2024-03-18 |
| Christina White | 325 W Gowe St, Kent, WA 98032-5892 | Counselor | 2025-03-03 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Pure Elegance Rx LLC | 27020 Pac Hwy S, Ste A #15, Kent, WA 98032 | Prosthetic/Orthotic Supplier | 2021-08-16 |
| Amrita Prabir Kumar Majumdar | 417 Ramsay Way, Ste 114, Kent, WA 98032 | General Practice Dentistry | 2019-08-07 |
| Teasya Kusumo | 232 2nd Avenue S., Suite 201, Kent, WA 98032 | Marriage & Family Therapist | 2017-05-10 |
| Pete Jelinek | 6632 S 191st Pl, Suite E-103, Kent, WA 98032 | In Home Supportive Care Agency | 2018-05-09 |
| Leidy M Martinez Bodre | 1126 4th Ave N, Kent, WA 98032 | Clinical Social Worker | 2023-03-01 |
| Albert Njuguna | 505 Washigton Ave South, Kent, WA 98032 | Counselor | 2022-12-02 |
| Kelly Warfield | 109 2nd Ave, Kent, WA 98032 | Massage Therapist | 2016-05-02 |
| Seattle Cpap | 25329 74th Ave S, Kent, WA 98032 | Durable Medical Equipment & Medical Supplies | 2016-08-28 |
| Julia Kocian | 1601 W Meeker St., #201, Sea Mar Kent Behavioral Health, Kent, WA 98032 | Clinical Social Worker | 2016-10-20 |
| Phoeun Sath | 24328 Pacific Hwy, Kent, WA 98032 | Community Health Worker | 2016-08-31 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| David M Fairbourn | 13402 N Scottsdale Rd, Suite B150, Scottsdale, AZ 85254-4054 | Physical Therapist | 2006-03-24 |
| Evan B Hoover · Evan Bree Yager | 5560 Niagara Dr, Marrero, LA 70072-4911 | Case Manager/Care Coordinator | 2021-10-14 |
| Evan S Al-Bazi · Evan Sam Albazi | 718 N Macomb St, Monroe, MI 48162-7815 | Emergency Medicine Physician | 2017-06-23 |
| Kent Christian Fairbourn | 474 W 200 N, Saint George, UT 84770-4505 | Other Technician | 2010-09-08 |
| Katie J. Fairbourn | 1824 S 5th St Apt C, Minneapolis, MN 55454-1207 | Music Therapist | 2024-06-18 |
| Brayden Fairbourn | 27 S Mario Capecchi Dr, Salt Lake City, UT 84112-5888 | Student in an Organized Health Care Education/Training Program | 2023-03-01 |
| Maria Fairbourn | 7012 Beamtree Dr, Shelbyville, KY 40065-6328 | Clinical Social Worker | 2019-05-10 |
| Jason David Fairbourn | 601 Elmwood Ave, Rochester, NY 14642-0001 | Student in an Organized Health Care Education/Training Program | 2022-04-07 |
| Calvin Fairbourn | 1935 Medical District Dr, Dallas, TX 75235-7701 | Student in an Organized Health Care Education/Training Program | 2022-03-30 |
| Evan S Shouse · Evan Gideon | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | Case Manager/Care Coordinator | 2018-04-06 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |