JACY BLAKE FISETTE
NPI 1003603002
Counselor - Mental Health in Austin, TX

Active since April 22, 2025
2604 COLQUITT CV # B, AUSTIN, TX 78748(512) 809-4757 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacy Blake Fisette NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACY BLAKE FISETTE (NPI 1003603002) is an individual mental health provider in Austin, Texas, licensed in Texas (95636) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1003603002
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACY BLAKE FISETTE
Location Address2604 COLQUITT CV # BAustin, TX 78748-5952
Mailing Address2604 Colquitt Cv # BAustin, TX 78748-5952 · (512) 809-4757
Sole ProprietorNo
Enumeration DateApril 22, 2025
NPPES CertifiedApril 22, 2025
NPI 1003603002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TX · 95636
2604 COLQUITT CV # B, Austin, TX 78748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacy Fisette's NPI number?

The NPI number for Jacy Fisette is 1003603002. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Jacy Fisette located?

Jacy Fisette practices at 2604 Colquitt Cv # B, Austin, TX 78748. The listed phone number is (512) 809-4757.

What is Jacy Fisette's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacy Fisette was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.