Individual provider Active NPI

Shelby Elizabeth Fischer, LMHC

  • Counseling Psychologist
  • Lincoln, RI
National Provider Identifier
1326327289
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
MHC00777 Issued in RI
Practice address
640 George Washington Hwy
Building B. Suite 103
Lincoln, RI 02865-4716
Phone
(401) 405-1229
Fax
(401) 466-7970
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8686 MA
Mental Health Counselor 101YM0800X MHC00777 RI
Counseling Psychologist 103TC1900X MHC00777 RI Primary

Addresses

Primary practice location

640 George Washington Hwy
Building B. Suite 103
Lincoln, RI 02865-4716

Mailing address

640 George Washington Hwy
BLDG B. Suite 103
Lincoln, RI 02865-4716
Phone (401) 405-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 23, 2024 through Feb 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8686MAMDMental Health Counselor
MHC00777RIMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1326327289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 GEORGE WASHINGTON HWY",
            "address_2": "BLDG B. SUITE 103",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654716",
            "telephone_number": "401-405-1229",
            "fax_number": "401-466-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GEORGE WASHINGTON HWY",
            "address_2": "BUILDING B. SUITE 103",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654716",
            "telephone_number": "401-405-1229",
            "fax_number": "401-466-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "SHELBY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8686",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00777",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "RI",
            "license": "MHC00777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.