Active NPI
Haley Kay Fisher, LPC
- Professional Counselor
- Festus, MO
National Provider Identifier
1013554203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2018016190
- Practice address
- 716 Woodside Creek Dr
Festus, MO 63028-2668 - Phone
- (314) 620-8888
- NPI assigned
- Dec 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2018016190 | MO | Primary |
Addresses
Primary practice location
716 Woodside Creek Dr
Festus, MO 63028-2668
Mailing address
632 Mueller Rd
Festus, MO 63028-2135
Phone (314) 620-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018016190 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
Locations
4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765
Networks
- IA HMO C-SNP
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- IL PPO Downstate
- IA HMO
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1013554203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 MUELLER RD",
"city": "FESTUS",
"state": "MO",
"postal_code": "630282135",
"telephone_number": "314-620-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 WOODSIDE CREEK DR",
"city": "FESTUS",
"state": "MO",
"postal_code": "630282668",
"telephone_number": "314-620-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "HALEY",
"middle_name": "KAY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-06",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2018016190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.