Individual provider Active NPI

Renee Charlene Fischer, LCPC

  • Professional Counselor
  • Sycamore, IL
National Provider Identifier
1619992328
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006174 Issued in IL
Practice address
122 S Locust St Ste a
Sycamore, IL 60178-1865
Phone
(847) 507-3583
Fax
(847) 717-6790
NPI assigned
Jul 13, 2006
Last updated
Feb 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180006174 IL Primary

Addresses

Primary practice location

122 S Locust St Ste a
Sycamore, IL 60178-1865

Mailing address

9N585 Arrowmaker Pass
Elgin, IL 60124-8440
Phone (847) 507-3583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240506000084 IL Practitioner - Mental Health Counselor 5294175469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 N Randall Rd
Suite 20
St Charles, IL 60174-1500
Phone (847) 507-3583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180006174ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fischer Counseling Inc CurrentSince Feb 28, 2011 Accepting new patients

Locations

333 N Randall Rd
Ste 20
St Charles, IL 60174
Phone (312) 513-3702

122 S Locust St
Ste A
Sycamore, IL 60178
Phone (847) 507-3583

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1619992328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9N585 ARROWMAKER PASS",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601248440",
            "telephone_number": "847-507-3583",
            "fax_number": "847-717-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S LOCUST ST STE A",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781865",
            "telephone_number": "847-507-3583",
            "fax_number": "847-717-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "RENEE",
        "middle_name": "CHARLENE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.