Healthcare Provider Details

I. General information

NPI: 1023669868
Provider Name (Legal Business Name): KAREN FISCHER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2019
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5031 KNOLLFIELD PL
FORT WAYNE IN
46809-9521
US

IV. Provider business mailing address

5031 KNOLLFIELD PL
FORT WAYNE IN
46809-9521
US

V. Phone/Fax

Practice location:
  • Phone: 317-267-9040
  • Fax:
Mailing address:
  • Phone: 317-627-9040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39000166A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number35001390A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: