Bob Fisher, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2004014922 Issued in MO

Practice address

1736 E Sunshine St
Suite 811
Springfield, MO 65804-1343

Phone

(417) 882-4485

Fax

(417) 882-5517

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912056656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 CHERRY PL",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658091803",
            "telephone_number": "417-818-8999",
            "fax_number": "417-882-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E SUNSHINE ST",
            "address_2": "SUITE 811",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041343",
            "telephone_number": "417-882-4485",
            "fax_number": "417-882-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BOB",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2004014922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon W Finley, PMHNP
• Phillip J Finley, DO
• Fireside Healing
• First Call Medical Inc.
• Amy Muntz Fisch, PH.D.
• Caleb Fisher, LMSW
• Carrie Ann Fisher
• Kathleen D Fisher, CRNA
• James E Fite, MD
• Nicole K Fitts, PA-C

• Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.