Individual provider Active NPI

Lakeshia Fisher

  • Professional Counselor
  • Gulfport, MS
National Provider Identifier
1861968182
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3059 Issued in MS
Practice address
302 Courthouse Rd Ste G
Gulfport, MS 39507-1890
Phone
(228) 897-7465
NPI assigned
Oct 15, 2018
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402002376 MS Practitioner - Mental Health Counselor 5597103127 Reassigns benefits to 3 organizations

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

OrganizationSpecialtyStatusNew patients
Coastal Family Health Center, Inc CurrentSince Jul 1, 2024 Accepting new patients
Region XII Commission CurrentSince Feb 17, 2024 Accepting new patients
Coastal Family Health Center, Inc CurrentSince Jul 1, 2024 Accepting new patients
Coastal Family Health Center, Inc Current Accepting new patients
Rivers Psychotherapy Services, LLC CurrentSince Aug 30, 2024 Accepting new patients
Region 12 Commission on Mental Health & Retardation Pine Belt Men CurrentSince Feb 17, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.