Organization Active NPI

Amy Fischer

Doing business as MindOasis

  • Clinical Social Worker
  • Washington, IL
National Provider Identifier
1457720435
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149015544 Issued in IL
Legal business name
AMY FISCHER
Doing business as
MindOasis
Practice address
1506 Savile LN
Washington, IL 61571-4611
Phone
(309) 532-8455
NPI assigned
Sep 18, 2015
Last updated
Sep 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Amy Michelle Fischer, LCSWNPI 1922375666
Title
LCSW/Owner
Phone
(309) 532-8455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 149015544 IL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149015544 IL Primary

Addresses

Primary practice location

1506 Savile LN
Washington, IL 61571-4611

Mailing address

1506 Savile LN
Washington, IL 61571-4611
Phone (309) 532-8455

Other names 1

  • MindOasis Doing business as

National Provider Directory

National Provider Directory

Locations

4507 N Sterling Ave
Ste 203
Peoria, IL 61615
Phone (309) 857-6399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1457720435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 SAVILE LN",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615714611",
            "telephone_number": "309-532-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 SAVILE LN",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615714611",
            "telephone_number": "309-532-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY FISCHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "309-532-8455",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149015544",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindOasis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.