Individual provider Active NPI

Sharen Fisher

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1053636910
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I0711146 Issued in OH
Practice address
1560 Fishinger Rd
Columbus, OH 43221-2108
Phone
(614) 457-7876
Fax
(614) 457-1040
NPI assigned
Apr 5, 2010
Last updated
Apr 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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 I0711146 OH Primary

Addresses

Primary practice location

1560 Fishinger Rd
Columbus, OH 43221-2108

Mailing address

1560 Fishinger Rd
Columbus, OH 43221-2108
Phone (614) 457-7876

Other names 1

  • Sharen Fisher Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0711146OHMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1053636910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 FISHINGER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212108",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 FISHINGER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212108",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "SHAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I0711146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAREN",
            "last_name": "FISHER",
            "credential": "LISW-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.