Individual provider Active NPI

Cheryl Ann Fish, LCMHC

  • Mental Health Counselor
  • Woodstock, VT
National Provider Identifier
1831276963
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
54 Issued in NH
Practice address
32 Pleasant St
Vermont Children'S Aid Society, Simmons Building
Woodstock, VT 05091-1122
Phone
(802) 457-3084
Fax
(802) 457-3086
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 54 NH Primary

Addresses

Primary practice location

32 Pleasant St
Vermont Children'S Aid Society, Simmons Building
Woodstock, VT 05091-1122

Mailing address

32 Pleasant St
Vermont Children'S Aid Society, Simmons Building
Woodstock, VT 05091-1122
Phone (802) 457-3084

Other identifiers 1

IdentifierTypeStateIssuer
1005524MedicaidVT

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
54NHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831276963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PLEASANT ST",
            "address_2": "VERMONT CHILDREN'S AID SOCIETY, SIMMONS BUILDING",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050911122",
            "telephone_number": "802-457-3084",
            "fax_number": "802-457-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PLEASANT ST",
            "address_2": "VERMONT CHILDREN'S AID SOCIETY, SIMMONS BUILDING",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050911122",
            "telephone_number": "802-457-3084",
            "fax_number": "802-457-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005524",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.