Active NPI
Kelly T Fisher
- Mental Health Counselor
- Henderson, NV
National Provider Identifier
1457612970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CP5035
- Practice address
- 216 Trojan Way
216 Trojan Way
Henderson, NV 89074-0125 - Phone
- (702) 576-2758
- NPI assigned
- May 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 98086 | TX | |
| Mental Health Counselor | 101YM0800X | CP5035 | NV | Primary |
Addresses
Primary practice location
216 Trojan Way
216 Trojan Way
Henderson, NV 89074-0125
Mailing address
216 Trojan Way
216 Trojan Way
Henderson, NV 89074-0125
Phone (702) 576-2758
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP5035 | NV | MD | Mental Health Counselor |
| 98086 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1457612970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 TROJAN WAY",
"address_2": "216 TROJAN WAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890740125",
"telephone_number": "702-576-2758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 TROJAN WAY",
"address_2": "216 TROJAN WAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890740125",
"telephone_number": "702-576-2758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "KELLY",
"middle_name": "T",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "98086",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "CP5035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.