Active NPI
Mark Evan Fisher, LMHCA
- Mental Health Counselor
- Maple Valley, WA
National Provider Identifier
1033722798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 27203 216TH Ave SE Ste 5
Maple Valley, WA 98038-3273 - Phone
- (253) 334-6950
- NPI assigned
- Aug 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
27203 216TH Ave SE Ste 5
Maple Valley, WA 98038-3273
Mailing address
21703 SE 259TH St
Maple Valley, WA 98038-7568
Phone (206) 280-8722
Other practice location 1
23836 222nd Pl SE Ste 104
Maple Valley, WA 98038-8516
Phone (425) 243-3702
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | markfishermv@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandy Oto Counseling | Current | Accepting new patients | |
| Brandy Oto Counseling | Mental Health | Current | Accepting new patients |
Locations
27203 216th Ave SE
Ste 5
Maple Valley, WA 98038
Phone (253) 334-6950
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Maple Valley, WA
- NPI 1043982259
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Maple Valley, WA
- NPI 1720612112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1033722798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21703 SE 259TH ST",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980387568",
"telephone_number": "206-280-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27203 216TH AVE SE STE 5",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980383273",
"telephone_number": "253-334-6950"
}
],
"practiceLocations": [
{
"address_1": "23836 222nd Pl SE Ste 104",
"address_purpose": "LOCATION",
"city": "Maple Valley",
"state": "WA",
"postal_code": "980388516",
"country_code": "US",
"telephone_number": "425-243-3702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHER",
"first_name": "MARK",
"middle_name": "EVAN",
"credential": "LMHCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "markfishermv@gmail.com",
"affiliation": "N",
"endpointDescription": "gmail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "27203 216th Ave SE Ste 5",
"city": "Maple Valley",
"state": "WA",
"country_code": "US",
"postal_code": "980383273",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maple Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.