KRISTIN D. FISHER MED, LCMHC
NPI 1336633635
Counselor - Professional in Charlotte, NC

Active since June 20, 2018Opted out of Medicare · through Jul 18, 2028
7401 CARMEL EXECUTIVE PARK DR, CHARLOTTE, NC 28226(704) 752-8414 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 9, 2023, Jun 20, 2018 (2 updates tracked since 2018).

About Kristin D. Fisher Med, Lcmhc NPPES

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

KRISTIN D. FISHER MED, LCMHC (NPI 1336633635) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (A13633) and active in the NPI registry since June 2018. She has opted out of Medicare through July 18, 2028 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336633635
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTIN D. FISHERCredential: MED, LCMHC
Location Address7401 CARMEL EXECUTIVE PARK DRCharlotte, NC 28226-8275
Mailing Address641 Amanda DrMatthews, NC 28104-9398 · (804) 836-4883
Sole ProprietorYes
Enumeration DateJune 20, 2018
Last NPPES UpdateMarch 9, 20232 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
✔ NPI 1336633635 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 NC · A13633
7401 CARMEL EXECUTIVE PARK DR, Charlotte, NC 28226

Secondary Practice Locations 2

Location 1641 Amanda DrMatthews, NC 28104-9398 · Phone (804) 836-4883
Location 2105 Waxhaw Professional Park Dr Ste HWaxhaw, NC 28173-5018 · Phone (704) 256-0305 · Fax (704) 256-9968

Other Identifiers 1

Other00000000Credentialing In Process

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristin D. Fisher Med, Lcmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 18, 2024 through July 18, 2028.

Opt-Out Effective DateJuly 18, 2024
Opt-Out In Effect ThroughJuly 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 12

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

Marriage & Family Therapist
7401 CARMEL EXECUTIVE PARK DR, SUITE 210
CHARLOTTE, NC 28226
Social Worker (Clinical)
7401 CARMEL EXECUTIVE PARK DR, SUITE 210
CHARLOTTE, NC 28226
Psychologist
7401 CARMEL EXECUTIVE PARK DR, SUITE 210
CHARLOTTE, NC 28226
Counselor (Professional)
7401 CARMEL EXECUTIVE PARK DR, SUITE 210
CHARLOTTE, NC 28226
Counselor (Mental Health)
7401 CARMEL EXECUTIVE PARK DR
CHARLOTTE, NC 28226
Marriage & Family Therapist
7401 CARMEL EXECUTIVE PARK DR, SUITE 210
CHARLOTTE, NC 28226
Psychologist
7401 CARMEL EXECUTIVE PARK DR
CHARLOTTE, NC 28226
Counselor (Professional)
7401 CARMEL EXECUTIVE PARK DR, SUITE 210
CHARLOTTE, NC 28226

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 Kristin Fisher's NPI number?

The NPI number for Kristin Fisher is 1336633635. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Kristin Fisher located?

Kristin Fisher practices at 7401 Carmel Executive Park Dr, Charlotte, NC 28226. The listed phone number is (704) 752-8414.

What is Kristin Fisher's specialty?

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

Is Kristin Fisher enrolled in Medicare?

No. Kristin Fisher has opted out of Medicare through July 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kristin Fisher accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Kristin Fisher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristin Fisher was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.