Individual provider Active NPI

Lisa Lynn Fisher, LMHC

  • Mental Health Counselor
  • Imogene, IA
National Provider Identifier
1891416434
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4156 130TH St
Imogene, IA 51645-6038
Phone
(712) 216-2003
Fax
(833) 478-1503
NPI assigned
Sep 12, 2022
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 Primary

Addresses

Primary practice location

4156 130TH St
Imogene, IA 51645-6038

Mailing address

4156 130TH St
Imogene, IA 51645-6038
Phone (712) 216-2003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250611000562 NE Practitioner - Mental Health Counselor 3678083391 Reassigns benefits to 1 organization
I20250612001045 IA Practitioner - Mental Health Counselor 3678083391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cord Where Science Meets Connection LLCGroup PAC ID 7810427838, 10 clinicians

Practice addresses (Care Compare)

13304 W Ctr Rd
Suite 126
Omaha, NE 68144-3457
Phone (402) 256-7913

29 S Main St
Council Bluffs, IA 51503-9070
Phone (402) 256-7913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Fisher Therapy LLC Mental Health CurrentSince Dec 14, 2025 Accepting new patients
Ven Healthcare Council Bluffs LLC CurrentSince Mar 31, 2025 Accepting new patients
Cord Where Science Meets Connection LLC Mental Health CurrentSince Mar 24, 2025 Accepting new patients

Locations

29 S Main St
Council Bluffs, IA 51503
Phone (402) 256-7913

1900 E Military Ave
Ste 212
Fremont, NE 68025
Phone (402) 214-5641

13304 W Center Rd
Ste 126
Omaha, NE 68144
Phone (402) 256-7913

Organizations & group practices 3

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1891416434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 130TH ST",
            "city": "IMOGENE",
            "state": "IA",
            "postal_code": "516456038",
            "telephone_number": "712-216-2003",
            "fax_number": "833-478-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4156 130TH ST",
            "city": "IMOGENE",
            "state": "IA",
            "postal_code": "516456038",
            "telephone_number": "712-216-2003",
            "fax_number": "833-478-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imogene, IA

Sources for this page

Verify at the official NPI Registry.