Active NPI
Alia D Fisher, MA, LPC
- Professional Counselor
- Lakewood, CO
National Provider Identifier
1245060599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0018524
- Practice address
- 3609 S Wadsworth Blvd
Lakewood, CO 80235-2108 - Phone
- (303) 902-3068
- Fax
- (303) 484-3943
- NPI assigned
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- No
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 | LPC.0018524 | CO | Primary |
Addresses
Primary practice location
3609 S Wadsworth Blvd
Lakewood, CO 80235-2108
Mailing address
2020 Diamond Dr
Longmont, CO 80504-7746
Phone (303) 775-8030
Other practice location 1
703 Walnut St
Boulder, CO 80302-5032
Phone (720) 383-7078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 5, 2024 through Aug 5, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0018524 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1245060599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 DIAMOND DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805047746",
"telephone_number": "303-775-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3609 S WADSWORTH BLVD",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352108",
"telephone_number": "303-902-3068",
"fax_number": "303-484-3943"
}
],
"practiceLocations": [
{
"address_1": "703 Walnut St",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803025032",
"country_code": "US",
"telephone_number": "720-383-7078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHER",
"first_name": "ALIA",
"middle_name": "D",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-02",
"last_updated": "2024-08-02",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0018524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.