Provider Demographics
NPI:1124310800
Name:FISCHER, BARBARA D (CPC, LIMHP, LADC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:D
Last Name:FISCHER
Suffix:
Gender:F
Credentials:CPC, LIMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2217 W 12TH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-3660
Mailing Address - Country:US
Mailing Address - Phone:402-469-7271
Mailing Address - Fax:402-925-6893
Practice Address - Street 1:2217 W 12TH ST STE 4
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-3660
Practice Address - Country:US
Practice Address - Phone:402-469-7271
Practice Address - Fax:402-925-6893
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE936101YA0400X
NEP-843101YA0400X
NE1665101YM0800X
NE1852101YP2500X
NE3728101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026376300Medicaid
NE1104242874Medicaid