| Nathan Fisher | |
|
600 Clifty St Ste 2 Somerset KY 42503-1710 | |
| (606) 678-0026 | |
| (606) 678-0047 |
| Full Name | Nathan Fisher |
|---|---|
| Speciality | Counselor |
| Location | 600 Clifty St Ste 2, Somerset, Kentucky |
| Authorized Official Name and Position | Nathan Fisher (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 6066780026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Fisher 600 Clifty St Suite 2 Somerset KY 42503-1733 Ph: (606) 492-4023 | Nathan Fisher 600 Clifty St Ste 2 Somerset KY 42503-1710 Ph: (606) 678-0026 |
| NPI Number | 1215475561 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 12/20/2018 |
| Medicare PECOS PAC ID | 3173872256 |
|---|---|
| Medicare Enrollment ID | O20180822003279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215475561 | NPI | - | NPPES |
| 1215475561 | Other | KY | NPI (QUEST COUNSELING) |
| 7100395100 | Medicaid | KY | |
| 1881978807 | Other | KY | NPI (NATHAN FISHER) |
| 710044820 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 166819 (Kentucky) | Primary |
| Provider Name | Misty R Goldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528069531 PECOS PAC ID: 4688640360 Enrollment ID: I20070809000660 |
| Provider Name | Kelli N Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710380035 PECOS PAC ID: 7810268711 Enrollment ID: I20170811000708 |
| Provider Name | Natasha Larae Slaughter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659943033 PECOS PAC ID: 8527466333 Enrollment ID: I20211008001489 |
| Provider Name | Heather Laurel Lawhorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952025322 PECOS PAC ID: 2062880156 Enrollment ID: I20221121002724 |
| Provider Name | Deanna Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215634902 PECOS PAC ID: 8224402656 Enrollment ID: I20230324002145 |
| Provider Name | James Michael Estes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659843407 PECOS PAC ID: 3779940341 Enrollment ID: I20230613002341 |
| Provider Name | Miranda Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316635394 PECOS PAC ID: 6901266923 Enrollment ID: I20230721000765 |
| Provider Name | Kari Elise Mccormick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154917227 PECOS PAC ID: 2961852272 Enrollment ID: I20231228003805 |
| Provider Name | Tiffany Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407531130 PECOS PAC ID: 7517318165 Enrollment ID: I20240108004011 |
| Provider Name | Elizabeth Godsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104283803 PECOS PAC ID: 8325499833 Enrollment ID: I20240109003800 |
| Provider Name | Aaron Bruce Atwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508214677 PECOS PAC ID: 0244682532 Enrollment ID: I20240123001708 |
| Provider Name | Jada Gilmore Fisher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518406511 PECOS PAC ID: 5698127983 Enrollment ID: I20240123001747 |
| Provider Name | Amy Renee Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700647955 PECOS PAC ID: 0345684411 Enrollment ID: I20240216000352 |
| Provider Name | Savannah Kate Kuney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912528936 PECOS PAC ID: 1052759826 Enrollment ID: I20240329002292 |
| Provider Name | Challie E Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790251809 PECOS PAC ID: 9830539618 Enrollment ID: I20240426000975 |
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