Active NPI
Christina Fisher, LCPC
- Professional Counselor
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180009010
- Practice address
- 1429 W Farwell Ave
Garden Unit
Chicago, IL 60626-3425 - Phone
- (847) 897-8848
- NPI assigned
- Nov 18, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180009010 | IL | Primary |
Addresses
Primary practice location
1429 W Farwell Ave
Garden Unit
Chicago, IL 60626-3425
Mailing address
1429 W Farwell Ave
Garden Unit
Chicago, IL 60626-3425
Phone (847) 897-8848
Other practice location 1
1457 N Halsted St Unit B303
Chicago, IL 60642-2677
Phone (847) 897-8848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Mental Health | Current | Accepting new patients |
| Robin & Rose Therapy Services | Current | Accepting new patients | |
| Psychology Specialists LTD | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
1616 N Damen Ave
Ste 301
Chicago, IL 60647
Phone (312) 761-4720
1457 N Halsted St
Unit B303
Chicago, IL 60642
Phone (312) 761-4725
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
Interoperability endpoints
- lifestancehealth.christinafisher@146897.advancedmd-direct.com
Organizations & group practices 3
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.
-
dba LifeStance
- Psychologist
- Naperville, IL
- NPI 1295914646
Mental Health
-
- Adult Mental Health Clinic/Center
- Chicago, IL
- NPI 1225873722
-
dba LifeStance Health
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1073987764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1429 W FARWELL AVE",
"address_2": "GARDEN UNIT",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606263425",
"telephone_number": "847-897-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 W FARWELL AVE",
"address_2": "GARDEN UNIT",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606263425",
"telephone_number": "847-897-8848"
}
],
"practiceLocations": [
{
"address_1": "1457 N Halsted St Unit B303",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606422677",
"country_code": "US",
"telephone_number": "847-897-8848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHER",
"first_name": "CHRISTINA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-18",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180009010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.