Active NPIIndividual provider

Beverly Fairhurst, MA, LCMHC, LCDP

Counselor, Mental Health in East Providence, Rhode Island

NPI Number1992780449
Practice location
610 Wampanoag Trl, East Providence, RI 02915-1504
Fax
401-435-7486
Last updated
September 11, 2025

Beverly Fairhurst is a Counselor, Mental Health based in East Providence, RI. Beverly Fairhurst practices in East Providence, RI and has the professional credentials of MA, LCMHC, LCDP. The NPI Number for Beverly Fairhurst is 1992780449 and holds a License No. 00027 (RI). The current practice location address for Beverly Fairhurst is 610 Wampanoag Trl, East Providence, RI 02915-1504 and can be reached out via phone at 401-431-9870 and via fax at 401-435-7486.

Provider Profile Details

NPI Number
1992780449
Provider Name
Beverly Fairhurst
Credential
MA, LCMHC, LCDP
Provider Entity Type
Individual
Gender
Female
Address
610 Wampanoag Trl, East Providence, RI 02915-1504
Phone Number
401-431-9870
Fax Number
401-435-7486
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
December 7, 2005
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 Wampanoag Trl
East Providence, RI 02915-1504
Zip
02915-1504
Phone Number
401-431-9870
Fax Number
401-435-7486
East Providence, RI 02915Get directions →

Provider Business Mailing Address Details

Address
7 Rocco Ave
Pawtucket, RI 02860-5822
City
Pawtucket
State
RI
Zip
02860-5822
Phone Number
401-725-2278

License Information

License Number (1)
00027
License State (1)
RI
License Number (2)
80
License State (2)
RI
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Mental Health providers near East Providence, RI

View all Counselor, Mental Health providers in East Providence →

Frequently Asked Questions

What is the NPI number of Beverly Fairhurst, MA, LCMHC, LCDP?

The NPI number of Beverly Fairhurst, MA, LCMHC, LCDP is 1992780449. It was assigned on December 7, 2005 and is currently active in the NPPES registry.

What is the specialty of Beverly Fairhurst, MA, LCMHC, LCDP?

Beverly Fairhurst, MA, LCMHC, LCDP is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in RI under license number 00027.

Where does Beverly Fairhurst, MA, LCMHC, LCDP practice?

The practice location is 610 Wampanoag Trl, East Providence, RI 02915-1504. The office can be reached at 401-431-9870 (phone) or 401-435-7486 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992780449 directly on the NPPES registry website.

Browse related providers