Deserie M Fillmore Hardy, MCP, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00003653 Issued in WA

Practice address

135 W Main St
Chehalis, WA 98532-4817

Phone

(360) 748-6696

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kalispel Tribe-Camas Institute

  dba Kalispel Indian Comm of Kalispel Res Wa

  • Community/Behavioral Health Agency
  • Airway Heights, WA
  • NPI 1518019272
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1760501183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S IRON ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313923",
            "telephone_number": "253-882-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W MAIN ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985324817",
            "telephone_number": "360-748-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLMORE HARDY",
        "first_name": "DESERIE",
        "middle_name": "M",
        "credential": "MCP, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00003653",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60185006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEMICAL DEPENDENCY PROFESSIONAL",
            "identifier": "CP00003653",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Ferrier, MA LMHC
• Mary Elizabeth Ferris, O.D., F.A.A.O.
• Catherine Fetters, MA, MHP
• Erin Fieldstad
• Kenneth Fill
• Kimberly Rene Finnell Townsend, LMHC
• Stephen R Fischer, PA-C
• Fitspa, LLC (The Well)
• Andrew James Flores
• Marina Sunset Flores

• Addiction (Substance Use Disorder) Counselor in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.