Amelia Rose Fisher, M.ED., LPC
Individual provider Active NPI Professional Counselor · Vernon, TX
NPI 1760188965 · NPPES record last updated Jul 23, 2026
Key facts
- NPI
- 1760188965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 90773 (TX)
- Practice address
- 12031 Center Dr
Vernon, TX 76384 - Phone
- (940) 357-1105
- NPI assigned
- Jan 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Supportive Care LLC
Practice addresses (Care Compare)
1201 Colonel Dr
Garland, TX 75043-1303
Phone (718) 298-4375
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241011002623 | TX | Practitioner - Mental Health Counselor | 3971035221 |
Reassigns benefits to 1 organization Practice locations: Vernon, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90773 | TX | MD | Counselor |
| 90733 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care LLC | Current |
Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001
2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533
1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140
1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366
6534 Stuebner Airline Rd
Houston, TX 77091
Phone (713) 692-5137
825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660
7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 90773 | TX | |
| Professional Counselor | 101YP2500X | 90773 | TX | Yes |
| Mental Health Counselor | 101YM0800X | 90733 | TX |
Addresses
Primary practice location
12031 Center Dr
Vernon, TX 76384
Mailing address
12031 Center Dr
Vernon, TX 76384-8035
Phone (940) 357-1105
Other practice location 1
1914 Paradise St
Vernon, TX 76384-8111
Phone (940) 553-1631
Other names
- Amelia Rose Adams
Other providers in Vernon, TX
- Dr. Vani Velamati,MD.PA
- Edwin S. Draughon
- Brittany Ann Duncan
- Peter G. Fadow
- Family Infusion Services, LLC
- Judy Fortune
- Fred C. Fox
- Stephanie Garcia
- Brysan Andrew Garrard
- General Anesthesia Services PA
All providers in Vernon, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.