Individual provider Active NPI

Darnell Fisher, LCSW

  • Mental Health Counselor
  • Fresno, CA
National Provider Identifier
1780315291
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
108246 Issued in CA
Practice address
3261 W Roberts Ave
Fresno, CA 93711-2163
Phone
(559) 593-8696
NPI assigned
Jun 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 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 108246 CA Primary

Addresses

Primary practice location

3261 W Roberts Ave
Fresno, CA 93711-2163

Mailing address

3261 W Roberts Ave
Fresno, CA 93711-2163
Phone (559) 593-8696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831003228 CA Practitioner - Clinical Social Worker 8325422868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jandp Spine Center Inc.Group PAC ID 1850632670, 11 clinicians

Practice addresses (Care Compare)

6079 N Fresno St
Suite 101
Fresno, CA 93710-5276
Phone (553) 538-3145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J&P Spine Center Inc. CurrentSince Aug 17, 2022 Accepting new patients
J&P Spine Center Inc CurrentSince Aug 17, 2022 Accepting new patients

Locations

6079 N Fresno St
Ste 101
Fresno, CA 93710
Phone (553) 538-3145

1332 W Herndon Ave
Ste 101
Fresno, CA 93711
Phone (559) 277-6570

530 Kings County Dr
Ste 107
Hanford, CA 93230
Phone (559) 538-3145

Organizations & group practices 2

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": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1780315291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 W ROBERTS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112163",
            "telephone_number": "559-593-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 W ROBERTS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112163",
            "telephone_number": "559-593-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DARNELL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "108246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.