Indy Marie Fairbanks
Addiction (Substance Use Disorder) Counselor | 20+ years Exp
402 N River St Ste 200, Derby
Kansas, 67037-1539
316-409-0565 Maps & DirectionsIndy Marie Fairbanks is a Derby, Kansas based counselor with 20 years of experience in Addiction (Substance Use Disorder) Counselor. She completed her graduation from Other in 2006. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Indy Marie Fairbanks is 4661 for Social Worker in Kansas. Her current practice location is 402 N River St Ste 200, Derby. Patients can book an appointment with her at 316-409-0565.
Indy Marie Fairbanks is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Indy Marie Fairbanks speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Indy Marie Fairbanks |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Female |
| Experience: | 20+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2006 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 402 N River St Ste 200, Derby,
Kansas, 67037-1539 |
| Phone: | 316-409-0565 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| PAC ID: | 8729355573 |
| Enrollment ID: | I20170525002063 |
| NPI Number: | 1013267756 |
| NPI Enumeration Date: | 10 Sep, 2012 |
| NPI Last Update On: | 16 Dec, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Indy Marie Fairbanks are as mentioned below.
| License Number | Specialization | State | Status | |
| 4661 | Social Worker | Kansas | Primary | |
| 647 | Addiction (Substance Use Disorder) Counselor | Kansas | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Indy Marie Fairbanks is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Four County Mental Health Center, Inc. (7012904071) | 12 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Indy Marie Fairbanks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200964810A | Medicaid | Kansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 215 E 9th Ave,
Belle Plaine, Kansas |
| Zip: | 67013-8823 |
| Phone Number: | 316-633-3262 |
Patients can reach Indy Marie Fairbanks at
402 N River St Ste 200, Derby, Kansas or can
call to book an appointment on 316-409-0565.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.