Active NPI
Torrance Fishburn, MSW, LCSW
- Mental Health Counselor
- Eagle River, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 8012 Stewart Mountain Dr
Eagle River, AK 99577-9013 - Phone
- (907) 694-3336
- NPI assigned
- Dec 17, 2018
- Last updated
- Jun 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
8012 Stewart Mountain Dr
Eagle River, AK 99577-9013
Mailing address
2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Other practice location 1
2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Phone (907) 279-9640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients |
Locations
400 W Benson Blvd
Anchorage, AK 99503
Phone (907) 729-4654
7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Alaska Subspecialty Pediatric Network (ASPN)
- Multi-Specialty Clinic/Center
- Wasilla, AK
- NPI 1457196685
-
dba Tribal- KKGB CFDS
- Multi-Specialty Clinic/Center
- Anchorage, AK
- NPI 1720603095
-
dba BSD - McGrath
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McGrath, AK
- NPI 1780614263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1609347525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 CORDOVA ST STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8012 STEWART MOUNTAIN DR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995779013",
"telephone_number": "907-694-3336"
}
],
"practiceLocations": [
{
"address_1": "2600 Cordova St Ste 101",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995032745",
"country_code": "US",
"telephone_number": "907-279-9640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHBURN",
"first_name": "TORRANCE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.