THAD WILLIAM FISHER MA, M.DIV.
NPI 1912434051
Counselor in Chicago, IL

Q: What is Thad Fisher's NPI number?

The NPI number for Thad Fisher is 1912434051. It was assigned to this individual provider in the NPPES registry on May 19, 2017. The provider is also known as T Will Fisher.

Q: What is Thad Fisher's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Thad Fisher was last updated on May 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 19, 2017PECOS EnrolledAccepts Medicare Assignment

6417 W IRVING PARK RD, CHICAGO, IL 60634(773) 777-7112 Get Directions Write a Review

NPPES record last updated: May 19, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Thad William Fisher Ma, M.div. NPPES

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

THAD WILLIAM FISHER MA, M.DIV. (NPI 1912434051) is an individual counselor in Chicago, Illinois and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912434051

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameTHAD WILLIAM FISHERCredential: MA, M.DIV.

Location Address6417 W IRVING PARK RDChicago, IL 60634-2437

Mailing Address6417 W Irving Park RdChicago, IL 60634-2437

Phone(773) 777-7112

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 19, 2017

✔ NPI 1912434051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · PastoralTaxonomy 101YP1600X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedReligious Nonmedical PractitionerTaxonomy 374K00000X

6417 W IRVING PARK RD, Chicago, IL 60634

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Other Names 1

Other Name (5)T Will Fisher

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans, Quartz, UnitedHealthcare.Insurance ›

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

Thad William Fisher Ma, M.div. 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 ID8729595335

PECOS Enrollment IDI20250729001886

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 20

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

MAYRA SOTOMAYOR

Counselor (Addiction (Substance Use Disorder))