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MR. JOHN ROBB FISHER III LCMHCA
NPI 1427716620
Counselor - Mental Health in Charlotte, NC

Active since December 04, 2021PECOS Enrolled
1300 BAXTER ST STE 420-421, CHARLOTTE, NC 28204(704) 995-0342(704) 943-0707 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2024, Dec 4, 2021 (2 updates tracked since 2021).

About Mr. John Robb Fisher Iii Lcmhca NPPES

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

MR. JOHN ROBB FISHER III LCMHCA (NPI 1427716620) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (A17120) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1427716620
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JOHN ROBB FISHER IIICredential: LCMHCA
Location Address1300 BAXTER ST STE 420-421Charlotte, NC 28204-3053
Mailing Address2120 N Brevard St Apt 110Charlotte, NC 28206-3660 · (215) 791-0123
Phone(704) 995-0342
Fax(704) 943-0707
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 4, 2021
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1427716620 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 NC · A17120
1300 BAXTER ST STE 420-421, Charlotte, NC 28204
Open in Google Maps ↗

Secondary Practice Location 1

Location 15200 Park Rd Ste 218-D1Charlotte, NC 28209-3650 · Phone (704) 800-4436

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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)

Mr. John Robb Fisher Iii Lcmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062987118
PECOS Enrollment IDI20260407001622
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 4

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

DAKOTA MOSER MA, LMFTA
Marriage & Family Therapist
1300 BAXTER ST STE 420-421
CHARLOTTE, NC 28204
Mecklenburg County (704) 995-0342
JENNA PILTZER
Social Worker (Clinical)
1300 BAXTER ST STE 420-421
CHARLOTTE, NC 28204
Mecklenburg County (704) 995-0342
KYLIE GIBSON
Social Worker (Clinical)
1300 BAXTER ST STE 420-421
CHARLOTTE, NC 28204
Mecklenburg County (704) 995-0342
MS. CHARLENE DORTHEA JONES NCC, LPCA
Counselor (Mental Health)
1300 BAXTER ST STE 420-421
CHARLOTTE, NC 28204
Mecklenburg County (704) 995-0342

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 John Fisher's NPI number?

The NPI number for John Fisher is 1427716620. It was assigned to this individual provider in the NPPES registry on December 4, 2021.

Where is John Fisher located?

John Fisher practices at 1300 Baxter St Ste 420-421, Charlotte, NC 28204. The listed phone number is (704) 995-0342.

What is John Fisher's specialty?

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

Is John Fisher enrolled in Medicare?

Yes. John Fisher is registered in the Medicare PECOS enrollment system.

What insurance does John Fisher accept?

Health plans from Blue Cross and Blue Shield of NC list John 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 John Fisher was last updated on August 9, 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.