Individual provider Active NPI

Kichia Fisher, QMHP-A

  • Mental Health Counselor
  • Mechanicsville, VA
National Provider Identifier
1396428363
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0732006727 Issued in VA
Practice address
7300 Hanover Green Dr Ste 300B
Mechanicsville, VA 23111-1705
Phone
(804) 502-6723
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0732006727 VA Primary

Addresses

Primary practice location

7300 Hanover Green Dr Ste 300B
Mechanicsville, VA 23111-1705

Mailing address

7300 Hanover Green Dr Ste 300B
Mechanicsville, VA 23111-1705
Phone (804) 502-6723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0732006727VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pace Behavioral Health Care LLC Current Accepting new patients
Feeling and Healing Therapeutic Services LLC CurrentSince Aug 13, 2023 Accepting new patients

Locations

7300 Hanover Green Dr
Ste 300B
Mechanicsvlle, VA 23111
Phone (804) 502-6723

7284 Hanover Green Dr
#B
Mechanicsvlle, VA 23111
Phone (804) 244-1441

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1396428363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 HANOVER GREEN DR STE 300B",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111705",
            "telephone_number": "804-502-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HANOVER GREEN DR STE 300B",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111705",
            "telephone_number": "804-502-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KICHIA",
        "credential": "QMHP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0732006727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.