Kim Moore Fisher, NCC,LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005619-1 Issued in NY

Practice address

3 Cumberland Ave
Plattsburgh, NY 12901-1850

Phone

(518) 534-2445

NPI assigned

Oct 3, 2019

Sex

Female

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1295376978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CUMBERLAND AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011850",
            "telephone_number": "518-534-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CUMBERLAND AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011850",
            "telephone_number": "518-534-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KIM",
        "middle_name": "MOORE",
        "credential": "NCC,LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005619-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy M Filion, LPN
• Maegan Finley
• Firstview Eye Care Associates
• Firstview Eye Care Doctor of Optometry, PLLC
• Laura Elizabeth Fischer, RN
• Jocelyn Marie Fittin, RN IBCLC
• Alexander William Fleming, LMSW
• Rachel Flemming, M.A., CCC-SLP
• Dakota Flynn, LMHC
• Timothy E Foley, P.A.

• Mental Health Counselor in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.