IndividualActive
Amanda Fairbanks
NPI 1942777107 · Counselor · Longview, WA
Provider details
- NPI number
- 1942777107
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 60904653 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
720 14th Ave
Longview, WA 98632-2315
Phone: (360) 423-0203
Fax: (360) 577-0269
Street-level locationGet directions
Mailing address
Po Box 1847
Longview, WA 98632-8140
Registry dates
- Enumerated
- 2018-10-25
- Last updated
- 2019-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.