MRS. ROSA JEANENE FISHER LPC
NPI 1144712787
Counselor - Professional in Blackstone, VA

Active since May 30, 2018PECOS EnrolledAccepts Medicare Assignment
116 W BROAD ST, BLACKSTONE, VA 23824(434) 264-3209(434) 264-3224 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2024, Mar 7, 2024, Dec 11, 2019 and 1 more (4 updates tracked since 2018).

About Mrs. Rosa Jeanene Fisher Lpc NPPES

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

MRS. ROSA JEANENE FISHER LPC (NPI 1144712787) is an individual professional provider in Blackstone, Virginia, licensed in Virginia (0701007685) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1144712787
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ROSA JEANENE FISHERCredential: LPC
Location Address116 W BROAD STBlackstone, VA 23824-1710
Mailing AddressPo Box 360Blackstone, VA 23824-0360 · (434) 264-3209 · Fax (434) 264-3224
Fax(434) 264-3224
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 30, 2018
Last NPPES UpdateApril 29, 20244 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
NPI 1144712787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701007685
116 W BROAD ST, Blackstone, VA 23824

Other Names 1

Former Name (1)Mrs. Rosa Jeanene Tuttle Lpc

Other Identifiers 2

Medicaid1144712787VA
Other0701007685VA · Licensed Professional Counselor

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Rosa Jeanene Fisher Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244677524
PECOS Enrollment IDI20240321003787
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
116 W BROAD ST
BLACKSTONE, VA 23824

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 Rosa Fisher's NPI number?

The NPI number for Rosa Fisher is 1144712787. It was assigned to this individual provider in the NPPES registry on May 30, 2018. The provider is also known as Mrs. Rosa Jeanene Tuttle Lpc.

Where is Rosa Fisher located?

Rosa Fisher practices at 116 W Broad St, Blackstone, VA 23824. The listed phone number is (434) 264-3209.

What is Rosa Fisher's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Rosa Fisher enrolled in Medicare?

Yes. Rosa Fisher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rosa Fisher was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.