Jennifer H Fisher, LCPC
Individual provider Active NPI Professional Counselor · Portland, ME
NPI 1285065730 · NPPES record last updated May 12, 2017
Key facts
- NPI
- 1285065730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CC4828 (ME)
- Practice address
- 125 Presumpscot St
Portland, ME 04103-5225 - Phone
- (207) 650-4040
- NPI assigned
- Dec 10, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC4828 | ME | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC4828 | ME | Yes |
Addresses
Primary practice location
125 Presumpscot St
Portland, ME 04103-5225
Mailing address
125 Presumpscot St
Portland, ME 04103-5225
Phone (207) 650-4040
Other providers in Portland, ME
- First Light Counseling, LLC
- Nicole Firth
- Avital Fischer
- Dawn Fischer
- Gregory John Fisher
- Karen Dubbs Fisher
- Kelsey Fisher
- Patrick William Fisher
- Shelly Dawn Fisher
- Stacia Fitch
All providers in Portland, ME · Professional Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.