NIECOLE FISHER
NPI 1245804855
Counselor - Mental Health in Victorville, CA

Q: What is Niecole Fisher's NPI number?

The NPI number for Niecole Fisher is 1245804855. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Q: What is Niecole Fisher's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Niecole Fisher was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 18, 2021PECOS Enrolled

14605 GRAHAM AVE, VICTORVILLE, CA 92394(909) 717-3125 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2021, May 18, 2021 (2 updates tracked since 2021).

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About Niecole Fisher NPPES

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

NIECOLE FISHER (NPI 1245804855) is an individual mental health provider in Victorville, California and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245804855

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameNIECOLE FISHER

Location Address14605 GRAHAM AVEVictorville, CA 92394-7004

Mailing Address14605 Graham AveVictorville, CA 92394-7004

Phone(909) 717-3125

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 18, 2021

Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration

NPPES CertifiedNovember 18, 2021

✔ NPI 1245804855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselorTaxonomy 101Y00000X

14605 GRAHAM AVE, Victorville, CA 92394

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Niecole Fisher is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921590589

PECOS Enrollment IDI20251121002696

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 7

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

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