Jennifer Fishman, LCPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC 4017 Issued in ID

Practice address

1910 N Lakes PL
Meridian, ID 83646-5939

Phone

(208) 342-2273

NPI assigned

Nov 22, 2008

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

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 and National Provider Directory roles.

• Serenity Neuropsychology, PLLC

  • Clinical Neuropsychologist
  • Meridian, ID
  • NPI 1285815399
  NPD (past)
• Strive Counseling Inc.

  • Clinical Social Worker
  • Nampa, ID
  • NPI 1043515133
  NPD (past)

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

{
    "created_epoch": "1227312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227312000000",
    "number": "1356596019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HILLWAY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020929",
            "telephone_number": "208-861-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 N LAKES PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465939",
            "telephone_number": "208-342-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "JENNIFER",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-22",
        "last_updated": "2008-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC 4017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Fischman
• Kristen Tracy Fisher-Looyenga, LPC
• Kole Witt Fisher, DMD
• Maria Lynn Fisher, AU.D.
• Ashli Fishman Frank, RN, NBHWC
• Andrea Patricia Fitzer, N.P.
• Codi Lynn Fitzgerald, M.D.
• Raymond Drew Flack
• Joel Ammon Flake, I.S.
• Megan Ruth Flandro, PHARMD

• Mental Health Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2008; 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.