Tracey Renae Fisher, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

193200000X Issued in IN

Practice address

194 E Southway Blvd
Kokomo, IN 46902-3650

Phone

(765) 450-4843

Fax

(765) 450-4895

NPI assigned

Mar 17, 2016

Last updated

Mar 17, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrity Family Counseling LLC

  dba Integrity Family Counseling

  • Mental Health Counselor
  • Kokomo, IN
  • NPI 1265792188
  NPD (past)

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1659732709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 E SOUTHWAY BLVD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023650",
            "telephone_number": "765-450-4843",
            "fax_number": "765-450-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 E SOUTHWAY BLVD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023650",
            "telephone_number": "765-450-4843",
            "fax_number": "765-450-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "TRACEY",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "193200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Ambulatory Surgery Center
• First City Recovery Center
• Eric Michael Fiscus, MOT, OTR
• Helen Fiscus, LMFT
• Kari Michelle Fisher, MA
• Five Star Rehabilitation and Wellness Services, LLC (Ageility Physical Therapy Solutions at Northwoods)
• Christine Marie Fivecoate, RPH
• Karalyna Fivecoate, LMT
• Kayla Fletcher
• Annamarie Flores

• Social Worker in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.