Individual provider Active NPI

Karen M Davidson-Fisher, LMHP CMSW LCSW

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1164564167
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2170 Issued in NE
Practice address
4161 California St
Omaha, NE 68131-1761
Phone
(402) 706-8364
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1007 NE
Mental Health Counselor 101YM0800X 2170 NE Primary

Addresses

Primary practice location

4161 California St
Omaha, NE 68131-1761

Mailing address

4161 California St
Omaha, NE 68131-1761
Phone (402) 706-8364

Other names 1

  • Karen Marie Davidson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://karen-davidson-fisher.clientsecure.me 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

State licenses

LicenseStateTypeSpecialty
2170NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Davidson-Fisher, LCSW CurrentSince May 9, 2021 Accepting new patients

Organizations & group practices 1

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1164564167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 CALIFORNIA ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681311761",
            "telephone_number": "402-706-8364",
            "fax_number": "402-898-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 CALIFORNIA ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681311761",
            "telephone_number": "402-706-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON-FISHER",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "LMHP CMSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1007",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://karen-davidson-fisher.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "This is the default domain of the Website and Client Portal.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Domain",
            "address_1": "4161 California St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681311761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "DAVIDSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.