Ms Janice Lynn Fairbank, LPC, LIAC, SAP in Eagle, ID - Medicare Mental Health Counselor Provider

Ms Janice Lynn Fairbank, LPC, LIAC, SAP is a medicare enrolled "Counselor - Mental Health" provider in Eagle, Idaho. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Mental Health Specialty Group Pa and her current practice location is 951 E Plaza Dr, Eagle, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 938-2836.

Ms Janice Lynn Fairbank is licensed to practice in Idaho (license number LCPC-8471063) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255051298.

Contact Information

	Ms Janice Lynn Fairbank, LPC, LIAC, SAP
	951 E Plaza Dr, Eagle, ID 83616-6566
	(208) 938-2836
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Janice Lynn Fairbank
Gender	Female
Speciality	Mental Health Counselor
Experience	4 Years
Location	951 E Plaza Dr, Eagle, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Janice Lynn Fairbank graduated from medical school in 2022

NPI Data:

NPI Number: 1255051298
Provider Enumeration Date: 08/30/2022
Last Update Date: 03/25/2026

Medicare PECOS Information:

PECOS PAC ID: 8426598566
Enrollment ID: I20240904002876

Medical Identifiers

Medical identifiers for Ms Janice Lynn Fairbank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255051298	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LIAC-15597 (Arizona)	Secondary
101YM0800X	Counselor - Mental Health	LCPC-8471063 (Idaho)	Primary
101YP2500X	Counselor - Professional	LPC-23937 (Arizona)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mental Health Specialty Group Pa	8921466228	618

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Janice Lynn Fairbank allows following entities to bill medicare on her behalf.

Entity Name	Integrative Psychotherapy And Assessment Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699146910 PECOS PAC ID: 4880990464 Enrollment ID: O20160308001071

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Janice Lynn Fairbank is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Janice Lynn Fairbank, LPC, LIAC, SAP 6317 West Avilla Street , Meridian, Id, Meridian, ID 83646 Ph: (602) 488-7417	Ms Janice Lynn Fairbank, LPC, LIAC, SAP 951 E Plaza Dr, Eagle, ID 83616-6566 Ph: (208) 938-2836

Reviews and Comments

Counselor in Eagle, ID

Ms. Carol Tidwell, MS. LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 S Linder Rd Apt A308, Eagle, ID 83616 Phone: 208-546-1808
Angela Brewster, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 W State St, Eagle, ID 83616 Phone: 406-570-4698
Mrs. Megan Irene Osborne, PH.D, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 764 E. Ashbourne Ln., Eagle, ID 83616 Phone: 208-734-0022 Fax: 208-734-0855
Dr. Logan Marsh Lamprecht, PH.D., LCPC, M. COUN Counselor Medicare: Accepting Medicare Assignments Practice Location: 533 E Riverside Dr # 120533e, Eagle, ID 83616 Phone: 208-339-1279
Megan Koehler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 S Fitness Pl Ste 110, Eagle, ID 83616 Phone: 208-861-5279
Jacob Gary Dyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1197 S River Flow Way, Eagle, ID 83616 Phone: 208-921-0796
Mrs. Wendi Wilch, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 136 S Academy Ave, Eagle, ID 83616 Phone: 208-649-4797 Fax: 208-600-0857

Ms Janice Lynn Fairbank, LPC, LIAC, SAP - Medicare Counselor in Eagle, ID