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AUSTIN FISHBACK
NPI 1780259408
Counselor - Mental Health in Marion, IL

Active since May 25, 2021
4505 W DEYOUNG ST STE 203C, MARION, IL 62959(618) 283-2222 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Austin Fishback NPPES

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

AUSTIN FISHBACK (NPI 1780259408) is an individual mental health provider in Marion, Illinois and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1780259408
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameAUSTIN FISHBACK
Location Address4505 W DEYOUNG ST STE 203CMarion, IL 62959-5899
Mailing Address407 Bainbridge RdMarion, IL 62959-1313 · (618) 694-9409
Phone(618) 283-2222
Sole ProprietorNo
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1780259408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4505 W DEYOUNG ST STE 203C, Marion, IL 62959
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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.

ANDREA CAROLINE LOPEZ SSP, NCSP
Psychologist (School)
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 283-2222
DEVON GASTON
Counselor
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 283-2222
JESSICA WEAVER MS
Counselor
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 283-2222
KOFOWOROLA OLANIKE BADEJO
Social Worker (Clinical)
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (616) 283-2222
MARIA F ELMQUIST LSW
Social Worker
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 283-2222
ALYSH OETZEL
Speech-Language Pathologist
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 283-2222
ANNE ROE
Counselor
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 283-2222
LYNN ABED-MAHMOUD LPC
Counselor (Mental Health)
4505 W DEYOUNG ST STE 203C
MARION, IL 62959
Williamson County (618) 283-2222

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 Austin Fishback's NPI number?

The NPI number for Austin Fishback is 1780259408. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Austin Fishback located?

Austin Fishback practices at 4505 W Deyoung St Ste 203C, Marion, IL 62959. The listed phone number is (618) 283-2222.

What is Austin Fishback'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 Austin Fishback was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.