Active NPI
Albert B Fisher, LPC
- Professional Counselor
- Fayetteville, GA
National Provider Identifier
1023361219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006926
- Practice address
- 101 Rainbow Way
Fayetteville, GA 30214-3979 - Phone
- (678) 489-6017
- NPI assigned
- Oct 25, 2012
- Sex
- Male
- 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 | LPC006926 | GA | Primary |
Addresses
Primary practice location
101 Rainbow Way
Fayetteville, GA 30214-3979
Mailing address
101 Rainbow Way
Fayetteville, GA 30214-3979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006926 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1023361219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RAINBOW WAY",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RAINBOW WAY",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143979",
"telephone_number": "678-489-6017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "ALBERT",
"middle_name": "B",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-25",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.