Tinamarie Fish, LMHC, MHP, CCTP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC 60190151 Issued in WA

Practice address

2512 E Evergreen Blvd # 1188
Vancouver, WA 98661-4323

Phone

(360) 773-8964

NPI assigned

Mar 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Tina Mivshek Other name

Medicare fee-for-service enrollment

Enrolled in AZ, WA, OR3 enrollments

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 3

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

BMSC Az LLCGroup PAC ID 4385929173, 130 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• BMSC Az LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1497201875

  AZ, OR, WA

  Medicare reassignment Care Compare group
• Magnolia Behavioral and Holistic Health

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1164186730
  NPD Authorized official

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1598007148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986420826",
            "telephone_number": "360-773-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 E EVERGREEN BLVD # 1188",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614323",
            "telephone_number": "360-773-8964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 N Tomahawk Island Dr # 1083",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972178108",
            "country_code": "US",
            "telephone_number": "360-773-8964",
            "fax_number": "503-461-9185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISH",
        "first_name": "TINAMARIE",
        "name_prefix": "Ms.",
        "credential": "LMHC, MHP, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7332",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C7332",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60190151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "MIVSHEK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kier C Fischbach, M.S, D.P.T.
• Breanna Faith Fischer, MSMFT
• Carol Lynn Fischer, O.T. M.ED.
• Kevin D Fischer, MD
• Steven Joseph Fischer, M.S.W. L.I.S.W.
• Alissa Fisher
• Claudia Renee Fisher, LMHC
• Genevieve Fisher
• Jacklyn Paige Fisher
• Jerry Fisher, MD

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.