Active NPI
Lynda Mae Fisher, MC, LISAC, LPC
- Counselor
- Mesa, AZ
National Provider Identifier
1801061122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC1123
- Practice address
- 2266 S Dobson Rd
Mesa, AZ 85202-6488 - Phone
- (480) 491-0203
- NPI assigned
- Apr 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC1123 | AZ | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC0572 | AZ |
Addresses
Primary practice location
2266 S Dobson Rd
Mesa, AZ 85202-6488
Mailing address
310 W Laguna Dr
Tempe, AZ 85282-4812
Phone (480) 491-0203
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC1123 | AZ | MD | Counselor |
| LISAC0572 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1801061122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W LAGUNA DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852824812",
"telephone_number": "480-491-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2266 S DOBSON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852026488",
"telephone_number": "480-491-0203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "LYNDA",
"middle_name": "MAE",
"credential": "MC, LISAC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-28",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LPC1123",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC0572",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.