NPIMap

Organization Active NPI

Fisher Counseling & Mediation Services, Inc.

  • Mental Health Counselor
  • Bradenton, FL
National Provider Identifier
1609231067
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FISHER COUNSELING & MEDIATION SERVICES, INC.
Practice address
3653 Cortez Rd W
Suite 110C
Bradenton, FL 34210-3168
Phone
(941) 758-2529
Fax
(941) 755-3564
NPI assigned
Dec 29, 2015
Last updated
Dec 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Ms. Valerie Angelica Fisher, LMHCNPI 1003857541
Title
Owner
Phone
(941) 758-2529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

3653 Cortez Rd W
Suite 110C
Bradenton, FL 34210-3168

Mailing address

3653 Cortez Rd W
Suite 110C
Bradenton, FL 34210-3168
Phone (941) 758-2529

Other identifiers 1

IdentifierTypeStateIssuer
7B6B8OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3653 Cortez Rd W
Ste 110C
Bradenton, FL 34210
Phone (941) 758-2529

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": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1609231067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3653 CORTEZ RD W",
            "address_2": "SUITE 110C",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103168",
            "telephone_number": "941-758-2529",
            "fax_number": "941-755-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3653 CORTEZ RD W",
            "address_2": "SUITE 110C",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103168",
            "telephone_number": "941-758-2529",
            "fax_number": "941-755-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER COUNSELING & MEDIATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "ANGELICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-758-2529",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7B6B8",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.