Provider Demographics
NPI:1518146331
Name:FISCHER, JASON BLAKELY (LPC-S)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:BLAKELY
Last Name:FISCHER
Suffix:
Gender:M
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 YORK TIMBERS WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-4867
Mailing Address - Country:US
Mailing Address - Phone:512-413-0005
Mailing Address - Fax:
Practice Address - Street 1:5524 BEE CAVES RD STE B1
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5248
Practice Address - Country:US
Practice Address - Phone:512-413-0005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62889101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health