Individual provider Active NPI

L'Tanya Therese Fish, M.S., CRC, LPCA

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1659718757
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCA #7652 Issued in NC
Practice address
2801 Bedfordshire CT
Raleigh, NC 27604-3772
Phone
(919) 818-5474
Fax
(919) 876-5492
NPI assigned
May 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCA #7652 NC Primary

Addresses

Primary practice location

2801 Bedfordshire CT
Raleigh, NC 27604-3772

Mailing address

2801 Bedfordshire CT
Raleigh, NC 27604-3772
Phone (919) 818-5474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPCA #7652NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1659718757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BEDFORDSHIRE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043772",
            "telephone_number": "919-818-5474",
            "fax_number": "919-876-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BEDFORDSHIRE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043772",
            "telephone_number": "919-818-5474",
            "fax_number": "919-876-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "L'TANYA",
        "middle_name": "THERESE",
        "name_prefix": "Miss",
        "credential": "M.S., CRC, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LPCA #7652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.