Deana Lynn Fisher, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.012872 Issued in IL

Practice address

8102 W 119TH St Ste 1030
Palos Park, IL 60464-3081

Phone

(708) 381-0768

NPI assigned

Apr 1, 2020

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deana L. Fisher, P.C.

  dba Impactful Therapy

  • Professional Counselor
  • Palos Park, IL
  • NPI 1073267381
  NPD Authorized official

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1639707730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 W 119TH ST STE 1030",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643081",
            "telephone_number": "773-680-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 W 119TH ST STE 1030",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643081",
            "telephone_number": "708-381-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DEANA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.012872",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.impactful-therapy.com",
            "affiliation": "N",
            "endpointDescription": "Practice Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8102 W 119th St Ste 1030",
            "city": "Palos Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604643081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia Caitlin Espel, MD
• F. Michael Sheehan DDS LTD
• Jenise Farano, FPA-NP
• Holly Moak Fedor, PSY.D.
• Finding Inner Peace LLC
• Margaret M Garstka
• Janice Gaynor
• Gabriela Gehrman, PMHNP
• Generalhealthgroup of Illinois (Dental Associates of Palos Park)
• Geriaric Care Consultants

• Professional Counselor in Palos Park, IL
• Providers in Palos Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.