NPIMap

Organization Active NPI

Kelly S Fisher LLC

  • Professional Counselor
  • Huntsville, AL
National Provider Identifier
1902373277
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KELLY S FISHER LLC
Practice address
300 Clinton Avenue
Suite 22 a
Huntsville, AL 35801
Phone
(256) 970-4879
Fax
(256) 970-4907
NPI assigned
Oct 25, 2018
Last updated
Oct 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Kelly S Fisher, LPC
Title
LPC/President
Phone
(256) 970-4879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

300 Clinton Avenue
Suite 22 a
Huntsville, AL 35801

Mailing address

300 Clinton Avenue
Suite 22 a
Huntsville, AL 35801
Phone (256) 970-4879

National Provider Directory

National Provider Directory

Locations

300 Clinton Ave W
Ste 22
Huntsville, AL 35801
Phone (256) 970-4879

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1902373277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CLINTON AVENUE",
            "address_2": "SUITE 22 A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-970-4879",
            "fax_number": "256-970-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CLINTON AVENUE",
            "address_2": "SUITE 22 A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-970-4879",
            "fax_number": "256-970-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY S FISHER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LPC/PRESIDENT",
        "authorized_official_telephone_number": "256-970-4879",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.