Lakeshia Fisher
Individual provider Active NPI Professional Counselor · Gulfport, MS
NPI 1861968182 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1861968182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3059 (MS)
- Practice address
- 302 Courthouse Rd Ste G
Gulfport, MS 39507-1890 - Phone
- (228) 897-7465
- NPI assigned
- Oct 15, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Family Health Center, Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240402002376 | MS | Practitioner - Mental Health Counselor | 5597103127 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3059 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | 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 | |
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Region 12 Commission on Mental Health & Retardation Pine Belt Men | Current |
Accepting new patients | |
| Region XII Commission | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3059 | MS | Yes |
| 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
Other providers in Gulfport, MS
- Jeannine Michelle Finley
- Rebecca Finnemore
- Cheryl Fisher
- Daphne Ferriera Fisher
- Kimberly Fisher
- FJP LLC
- Sarah Flagg
- Rebecca Fletcher
- Armand Phillip Flores
- Sara Flowers
All providers in Gulfport, MS · Professional Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.