Individual provider Active NPI

Lisa M Fisher, LCPC

  • Mental Health Counselor
  • Glen Burnie, MD
National Provider Identifier
1831852003
Registry record updated Sep 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC14272 Issued in MD
Practice address
200 Juneberry Way Unit 2a
Glen Burnie, MD 21061-2321
Phone
(443) 286-1763
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2023

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 LC14272 MD Primary

Addresses

Primary practice location

200 Juneberry Way Unit 2a
Glen Burnie, MD 21061-2321

Mailing address

200 Juneberry Way Unit 2a
Glen Burnie, MD 21061-2321
Phone (443) 286-1763

Other identifiers 1

IdentifierTypeStateIssuer
LC14272OtherMDMD BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS

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
LC14272MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694217600000",
    "number": "1831852003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JUNEBERRY WAY UNIT 2A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612321",
            "telephone_number": "443-286-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JUNEBERRY WAY UNIT 2A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612321",
            "telephone_number": "443-286-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2023-09-09",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC14272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS",
            "identifier": "LC14272",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2023; 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.