Jonathan Fisher, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

75195 Issued in TX

Practice address

923 S Church St
Grapevine, TX 76051-5526

Phone

(817) 778-9071

NPI assigned

Apr 12, 2018

Last updated

Apr 12, 2018By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grapevine Counseling Center, PLLC

  • Mental Health Counselor
  • Grapevine, TX
  • NPI 1154874626
  NPD (past)

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1295232403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 NATCHEZ AVE",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760227644",
            "telephone_number": "832-262-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 S CHURCH ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515526",
            "telephone_number": "817-778-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JONATHAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FG Capital PLLC (Advanced Medicine Clinic)
• Humberto Figueroa Perez, DC
• Barry Alan Firstenberg, DO
• Firstline Home Healthcare Inc
• Haleigh Michelle Fisher, LPC
• Aubry Blanchard Fisk Jr., LAT, ATC
• Lynda Helene Flaherty
• Melaney Nichole Flaniken, LPC
• Emily Anne Flannery, PT
• Kristen Elizabeth Fleager, M.D.

• Professional Counselor in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.