Tara Kim Fairbanks, CAP - 207
NPI 1780402115ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Casper, WY
Counselor, Addiction (Substance Use Disorder) (CAP - 207) in Casper, Wyoming, licensed in WY, with an NPI issued in October 2024.
Overview
| NPI | 1780402115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CAP - 207 |
| Sole proprietor | No |
| NPI issued | Oct 3, 2024 |
| Last updated in NPPES | Oct 17, 2024 |
| Certified by provider | Oct 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | 207 | WY |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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