Active NPI
Terry Lou Fisher-Edens, LMHP
- Mental Health Counselor
- Gering, NE
National Provider Identifier
1669554820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2977
- Practice address
- 2027 10TH St
Gering, NE 69361-2417 - Phone
- (308) 632-4200
- Fax
- (308) 632-4205
- NPI assigned
- Oct 19, 2006
- Last updated
- Jun 19, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2977 | NE | Primary |
| Professional Counselor | 101YP2500X | 1541 | NE |
Addresses
Primary practice location
2027 10TH St
Gering, NE 69361-2417
Mailing address
2027 10TH St
Gering, NE 69341-2417
Phone (308) 632-4200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84466 | Other | NE | BCBS |
| 10025752900 | Medicaid | NE | |
| 249280 | Other | NE | MIDLANDS CHOICE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2977 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fisher-Edens & Klein LLC | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Gering, NE
- NPI 1114153962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1669554820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2027 10TH ST",
"city": "GERING",
"state": "NE",
"postal_code": "693412417",
"telephone_number": "308-632-4200",
"fax_number": "308-632-4205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2027 10TH ST",
"city": "GERING",
"state": "NE",
"postal_code": "693612417",
"telephone_number": "308-632-4200",
"fax_number": "308-632-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER-EDENS",
"first_name": "TERRY",
"middle_name": "LOU",
"credential": "LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2977",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "1541",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84466",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025752900",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "249280",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gering, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.