Individual provider Active NPI

Brandon Christopher Fisher, LPC

  • Counselor
  • East Stroudsburg, PA
National Provider Identifier
1245980077
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC014199 Issued in PA
Practice address
100 Plaza CT Ste D
East Stroudsburg, PA 18301-8258
Phone
(570) 775-3100
NPI assigned
Mar 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC014199 PA Primary

Addresses

Primary practice location

100 Plaza CT Ste D
East Stroudsburg, PA 18301-8258

Mailing address

805 Scott St Unit 3
Stroudsburg, PA 18360-1817
Phone (570) 775-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028004451 PA Practitioner - Mental Health Counselor 6608365804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC014199PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Water Gap Wellness Recovery LLC CurrentSince Aug 14, 2022 Accepting new patients
Grow Healthcare Group PA CurrentSince Sep 25, 2025 Accepting new patients
PA Nice Homes LLC CurrentSince Mar 27, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Plaza Ct
Ste D
East Stroudsburg, PA 18301
Phone (203) 524-3039

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

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.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1245980077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SCOTT ST UNIT 3",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601817",
            "telephone_number": "570-775-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PLAZA CT STE D",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018258",
            "telephone_number": "570-775-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BRANDON",
        "middle_name": "CHRISTOPHER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC014199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.