Individual provider Active NPI

Tawny Fisher, LPC

  • Mental Health Counselor
  • Wooster, OH
National Provider Identifier
1730891144
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2002670 Issued in OH
Practice address
4419 Cleveland Rd
Wooster, OH 44691-6601
Phone
(330) 345-8450
Fax
(330) 345-5899
NPI assigned
Dec 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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 C.2002670 OH Primary

Addresses

Primary practice location

4419 Cleveland Rd
Wooster, OH 44691-6601

Mailing address

4419 Cleveland Rd
Wooster, OH 44691-6601
Phone (330) 345-8450

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tawny@summittherapycenter.com

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
C.2002670OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Therapy Center LLC CurrentSince Dec 18, 2022 Accepting new patients

Locations

4419 Cleveland Rd
Wooster, OH 44691
Phone (330) 345-8450

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.

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1730891144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446916601",
            "telephone_number": "330-345-8450",
            "fax_number": "330-345-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446916601",
            "telephone_number": "330-345-8450",
            "fax_number": "330-345-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "TAWNY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2002670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tawny@summittherapycenter.com",
            "affiliation": "N",
            "endpointDescription": "Professional email",
            "address_1": "4419 Cleveland Rd",
            "city": "Wooster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446916601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.