MRS. ROSA JEANENE FISHER LPC NPI 1144712787

NPI Information

  • NPI: 1144712787
  • Provider Name: MRS. ROSA JEANENE FISHER, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 116 W BROAD ST
    BLACKSTONE, VA
    ZIP 23824
  • Phone: (434) 264-3209

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NPI Details

MRS. Rosa Jeanene Fisher, LPC is a professional counselor in Blackstone, VA with 14 years of experience. MRS. Rosa Jeanene Fisher, LPC NPI is 1144712787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

116 W BROAD ST
BLACKSTONE, VA
ZIP 23824-710
Phone: (434) 264-3209
Fax: (434) 264-3224

The NPI 1144712787 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/30/2018 and was last updated on 4/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional0701007685VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11144712787MEDICAIDVIRGINIA
20701007685OTHERVIRGINIALICENSED PROFESSIONAL COUNSELOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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