Lacey Nicole Fisher, LPC, NCC, RPT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68983 Issued in TX

Practice address

11906 Johnny Weismuller LN
Austin, TX 78748-2942

Phone

(254) 718-8373

NPI assigned

Mar 15, 2015

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jan 30, 2024 through Jan 30, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Open Heart Counseling of Austin PLLC

  • Professional Counselor
  • Austin, TX
  • NPI 1780260471
  NPD Authorized official

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426377600000",
    "number": "1730572736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11906 JOHNNY WEISMULLER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482942",
            "telephone_number": "254-718-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11906 JOHNNY WEISMULLER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482942",
            "telephone_number": "254-718-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "LACEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-15",
        "last_updated": "2015-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Fisher, PHARM D
• Deborah Torrey Fisher, MS, RD, LD, CHC
• Eric Thomas Fisher, RPT, MPT
• John David Fisher, MD
• Judith Lilian Fisher, OTR
• Mark Alden Fisher, MA, NCC, LPC
• Merrick Anne Fisher, DC
• Monica Fisher, MD
• Olivia Fisher, MD
• Rebecca Fisher, M.D.

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.