Active NPI
Breanna Faith Fischer, MSMFT
- Marriage & Family Therapist
- Vancouver, WA
National Provider Identifier
1689908485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 9300 NE Oak View Dr
Vancouver, WA 98662-6347 - Phone
- (360) 567-2211
- Fax
- (360) 567-2212
- NPI assigned
- Sep 25, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
9300 NE Oak View Dr
Vancouver, WA 98662-6347
Mailing address
1845 SE 106TH Ave
Portland, OR 97216-2935
Phone (360) 798-0004
Other names 1
- Breanna Faith Agnor
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peregrine Counseling Services PC | Current | Accepting new patients |
Locations
9340 NE 76th St
Vancouver, WA 98662
Phone (360) 253-4912
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Vancouver, WA
- NPI 1760316392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1689908485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 SE 106TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162935",
"telephone_number": "360-798-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 NE OAK VIEW DR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626347",
"telephone_number": "360-567-2211",
"fax_number": "360-567-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "BREANNA",
"middle_name": "FAITH",
"name_prefix": "Mrs.",
"credential": "MSMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-25",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BREANNA",
"last_name": "AGNOR",
"middle_name": "FAITH",
"credential": "MSMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.