Active NPI
Lakeshia Fisher
- Professional Counselor
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3059
- Practice address
- 302 Courthouse Rd Ste G
Gulfport, MS 39507-1890 - Phone
- (228) 897-7465
- NPI assigned
- Oct 15, 2018
- Last updated
- Oct 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3059 | MS | Primary |
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 3059 | MS |
Addresses
Primary practice location
302 Courthouse Rd Ste G
Gulfport, MS 39507-1890
Mailing address
860 E River PL Ste 100
Jackson, MS 39202-3442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15024 Martin Luther King Jr Blvd
Gulfport, MS 39501-8306
Phone (228) 864-0003
23453 Central Dr
Saucier, MS 39574-7521
Phone (228) 832-7223
23457 Central Dr
A
Saucier, MS 39574-7521
Phone (228) 832-7223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Region XII Commission | Current | Accepting new patients | |
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Rivers Psychotherapy Services, LLC | Current | Accepting new patients | |
| Region 12 Commission on Mental Health & Retardation Pine Belt Men | Current | Accepting new patients |
Locations
1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494
417 Security Sq
Gulfport, MS 39507
Phone (707) 728-5131
103 S 19th Ave
Hattiesburg, MS 39401
Phone (601) 544-4222
Interoperability endpoints
- lakeshia.fisher.p1@direct.cfhc.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coastal Family Health Center
- Federally Qualified Health Center (FQHC)
- Biloxi, MS
- NPI 1629066782
-
dba Pine Belt Mental Health Care Resources
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hattiesburg, MS
- NPI 1982610572
-
- Community/Behavioral Health Agency
- Gulfport, MS
- NPI 1780115808
-
dba Coastal Family Health Center, Inc Central Elementary
- Federally Qualified Health Center (FQHC)
- Lucedale, MS
- NPI 1427842913
-
dba Coastal Family Health Center, Inc - East Central Upper Elementary Scho
- Federally Qualified Health Center (FQHC)
- Moss Point, MS
- NPI 1548927163
-
- General Practice Physician
- Laurel, MS
- NPI 1467767988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1861968182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 E RIVER PL STE 100",
"city": "JACKSON",
"state": "MS",
"postal_code": "392023442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 COURTHOUSE RD STE G",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071890",
"telephone_number": "228-897-7465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "LAKESHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "3059",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "3059",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.