Jim Ellis Fisher, LCSW, PIP, EAP
Individual provider Active NPI Counselor · Anniston, AL
NPI 1932302247 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1932302247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 7 E 13TH St Ste 227
Anniston, AL 36201-4602 - Phone
- (256) 237-4990
- Fax
- (256) 237-9205
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 640960521 | AL | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | AL | Yes |
Addresses
Primary practice location
7 E 13TH St Ste 227
Anniston, AL 36201-4602
Mailing address
7 E 13TH St Ste 227
Anniston, AL 36201-4602
Phone (256) 237-4990
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.