Individual provider Active NPI

Megan Fisher, MA, LMHCA, CDPT

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1972994051
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60536402 Issued in WA
Practice address
1160 140TH Ave NE
Suite F
Bellevue, WA 98005-2978
Phone
(425) 283-1313
Fax
(425) 283-1316
NPI assigned
Feb 11, 2015
Last updated
Mar 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60536402 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X CO60528607 WA
Counselor 101Y00000X MC60536402 WA

Addresses

Primary practice location

1160 140TH Ave NE
Suite F
Bellevue, WA 98005-2978

Mailing address

1160 140TH Ave NE
Suite F
Bellevue, WA 98005-2978
Phone (425) 283-1313

Other names 1

  • Megan Koontz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60536402WAMDCounselor
CO60528607WAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1972994051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 140TH AVE NE",
            "address_2": "SUITE F",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052978",
            "telephone_number": "425-283-1313",
            "fax_number": "425-283-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 140TH AVE NE",
            "address_2": "SUITE F",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052978",
            "telephone_number": "425-283-1313",
            "fax_number": "425-283-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MEGAN",
        "credential": "MA, LMHCA, CDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60536402",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "CO60528607",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC60536402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "KOONTZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.