Individual provider Active NPI

Mark Evan Fisher, LMHCA

  • Mental Health Counselor
  • Maple Valley, WA
National Provider Identifier
1033722798
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Aug 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Brandy Oto Counseling CurrentSince Aug 30, 2020 Accepting new patients
Brandy Oto Counseling Mental Health CurrentSince Oct 10, 2021 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.

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.

Verify at the official NPI Registry.