Individual provider Active NPI

Fisher Stewart Ilijasic, LGPC

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1710830823
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGPC200012606 Issued in DC
Practice address
2600 Virginia Ave NW Ste 205
Washington, DC 20037-1945
Phone
(216) 299-8030
NPI assigned
Feb 18, 2026
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 LGPC200012606 DC Primary

Addresses

Primary practice location

2600 Virginia Ave NW Ste 205
Washington, DC 20037-1945

Mailing address

1701 Massachusetts Ave NW Apt 813
Washington, DC 20036-2116
Phone (216) 299-8030

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

LicenseStateTypeSpecialty
LGPC200012606DCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1710830823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MASSACHUSETTS AVE NW APT 813",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362116",
            "telephone_number": "216-299-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 VIRGINIA AVE NW STE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371945",
            "telephone_number": "216-299-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIJASIC",
        "first_name": "FISHER",
        "middle_name": "STEWART",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LGPC200012606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.