Kent David Fisher, LPC. MHSP-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0699 Issued in TN

Practice address

1713 Lockett Place
Memphis, TN 38104

Phone

(901) 372-0710

Fax

(901) 729-4600

NPI assigned

Dec 21, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Experiential Healing Center

  • Mental Health Counselor
  • Memphis, TN
  • NPI 1558084780
  NPD

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1205596087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 LOCKETT PLACE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-372-0710",
            "fax_number": "901-729-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 LOCKETT PLACE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-372-0710",
            "fax_number": "901-729-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KENT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPC. MHSP-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "0699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Tyler Fisher, PHARMD
• Cynthia B Fisher, PHARMD
• Dale Patrick Fisher, PHARM D
• Jimmy Terry Fisher, DPH
• Kema Cris Marie Fisher, LCSW, LADAC, BCD
• Merla Johanna Fisher, MD, PHD
• Michael Fisher, CRNA
• Oddye B. Fisher, B.S.
• Thomas Edwin Fisher, DPO
• Tiffany Latreece Fisher, MD

• Mental Health Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.