Individual provider Active NPI

Nicole Leigh Fisher, LPCC, LICDC

  • Mental Health Counselor
  • Mentor, OH
National Provider Identifier
1346754942
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2002053 Issued in OH
Practice address
9220 Mentor Ave
Mentor, OH 44060-6412
Phone
(440) 255-1700
NPI assigned
Nov 20, 2017
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162267 OH
Mental Health Counselor 101YM0800X E.2002053 OH Primary

Addresses

Primary practice location

9220 Mentor Ave
Mentor, OH 44060-6412

Mailing address

7403 Jameson Rd
Parma, OH 44129-2815

Other identifiers 1

IdentifierTypeStateIssuer
0273760MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241010003792 OH Practitioner - Mental Health Counselor 7911439294 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads HealthGroup PAC ID 9638440241, 12 clinicians

Practice addresses (Care Compare)

9220 Mentor Ave
Mentor, OH 44060-6412
Phone (440) 354-9924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2002053OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Near West Side Multi Service Corporation CurrentSince Jun 29, 2024 Accepting new patients
Near West Side Multi Service Corporation CurrentSince Jun 29, 2024 Accepting new patients
Kenneth a. de Luca,PH.D. & Associates, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Hallie B. Durchslag, LTD Past Accepting new patients
Mindfulness-Counseling Professional PastSince Dec 30, 2015 Accepting new patients

Locations

4115 Bridge Ave
Cleveland, OH 44113
Phone (216) 631-5800

6401 Jaycox Rd
North Ridgeville, OH 44039
Phone (440) 452-1292

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1346754942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7403 JAMESON RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606412",
            "telephone_number": "440-255-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "credential": "LPCC, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162267",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2002053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273760",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.