MRS. ROSA JEANENE FISHER (NPI# 1144712787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144712787 |
| Entity Type | Individual |
| Full Name | MRS. ROSA JEANENE FISHER |
| Credential | LPC |
| Practice Address |
920 S Main St Unit I Blackstone VA 23824-2648 |
| Mailing Address |
319 Horsepen Rd Farmville VA 23901-3648 |
| Practice Telephone | 4342643209 |
| Practice Fax Number | 4342643224 |
| Mailing Telephone | 7573757128 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701007685 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LICENSED PROFESSIONAL COUNSELOR | 0701007685 | 01 |
| Street Address |
920 S MAIN ST UNIT I |
| City | BLACKSTONE |
| State | VA |
| Zip Code | 23824-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265924856 | Blackstone Counseling & Behavioral Health, LLC | Clinic/Center | 920 S Main St Unit I, Blackstone, VA 23824-2648 | 2018-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447667753 | William White Jr. | Physician Assistant | Building 1876 Fort Pickett, Virginia Army National Guard, Blackstone, VA 23824 | 2014-07-18 |
| 1114248788 | Precious R. White | Physical Therapy Assistant | 703 Falls St., Blackstone, VA 23824 | 2010-06-18 |
| 1720224991 | Family Preservation Services, Inc | Community/Behavioral Health | 615, Blackstone, VA 23824 | 2008-12-18 |
| 1053440453 | Rhonda Daniels Wynder | Physician Assistant | Jfhq Medical Command, Bldg 306, Fort Pickett, VA 23824 | 2007-03-04 |
| 1578651097 | Commonwealth Vision Center P.C. | Optometrist | 1447 South Main Street, Blackstone, VA 23824 | 2006-10-10 |
| 1548293194 | Bon Secours-virginia Healthsource | Family Medicine | 213 N Main St, Blackstone, VA 23824 | 2006-07-08 |
| 1326038720 | Blackstone Life Care, LLC | Skilled Nursing Facility | 900 S Main St, Blackstone, VA 23824 | 2005-10-26 |
| 1134610918 | Bennett Logistics, LLC | Transportation Broker | 212 Gravatt Ave, Blackstone, VA 23824-1210 | 2018-05-28 |
| 1700266277 | Jan's Residential Homes | Community Based Residential Treatment Facility, Mental Illness | 307 N High St, Blackstone, VA 23824-1421 | 2015-05-31 |
| 1982670261 | James L. Bradshaw | Dentist | 131 N Main St, Blackstone, VA 23824-1423 | 2006-02-27 |
| Find all providers in zip 23824 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396282430 | Jennifer Bunn | Counselor | 609 Church St, Blackstone, VA 23824-1607 | 2017-01-27 |
| 1427404433 | Starke Behavioral Health Association Inc | Counselor | 120 W Broad St, Blackstone, VA 23824-1710 | 2016-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962464 | Stefanie Newman | Counselor | 2340 Commonwealth Dr Fl 1, Charlottesville, VA 22901-1634 | 2020-11-06 |
| 1790385672 | Katlyn Nunley | Counselor | 620 Park Ave Nw, Norton, VA 24273-1922 | 2020-10-29 |
| 1972103018 | Jessica Alaine Whittle | Counselor | 1488 Claiborne St, Danville, VA 24540-3150 | 2020-10-28 |
| 1326648486 | Sara Wood | Counselor | 1021 Eden Way N Ste 123, Chesapeake, VA 23320-2776 | 2020-10-28 |
| 1871192336 | Jessie Lewis-crosby | Counselor | 3022 Camp Overlook Ln, Keezletown, VA 22832-2209 | 2020-10-25 |
| 1356940910 | Celeste Suzann Cantees | Counselor | 1008 Pendleton St, Alexandria, VA 22314-2286 | 2020-10-23 |
| 1023617396 | Jennifer Nicole Freeman | Counselor | 3101 Wilson Blvd, Arlington, VA 22201-4443 | 2020-10-19 |
| 1780282558 | Ashley Groeper | Counselor | 1657 W Broad St Unit 3a, Richmond, VA 23220-2153 | 2020-10-14 |
| 1942808845 | Todd Alan Gearheart | Counselor | 102 Goose Creek Ter, Thaxton, VA 24174-3010 | 2020-10-13 |
| 1922606946 | Elaine Zagami | Counselor | 1406 Gentry Ln Unit B, Charlottesville, VA 22903-1320 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSTONE |
| Zip Code | 23824 |
Please comment or provide details below to improve the information on MRS. ROSA JEANENE FISHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.