Desiree Monique Fisher, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6762 Issued in OK

Practice address

1516 S Boston Ave Ste 1
Tulsa, OK 74119-4029

Phone

(918) 561-6000

NPI assigned

Apr 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Desiree Monique Embry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1063809341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13375 E 32ND PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741344044",
            "telephone_number": "918-406-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 S BOSTON AVE STE 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194029",
            "telephone_number": "918-561-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1619 E 13 St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74120",
            "country_code": "US",
            "telephone_number": "918-588-8888",
            "fax_number": "918-588-8859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DESIREE",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "EMBRY",
            "middle_name": "MONIQUE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Dawn Fish
• Emma Louise Fishback
• Anne Mowry Fisher, NP-C
• Carl M Fisher, DO
• Cheyenne Prescott Fisher
• Donita Elizabeth Fisher
• Gary Wallace Fisher, DDS
• Jena L Fisher
• Kamryn Fisher, PA
• Kevin Todd Fisher, D.O.

• Professional Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.