MEDICARE: JENNIFER FISHMAN LCPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LCPC 4017	ID

General Provider Information

NPI Number	:	1356596019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER FISHMAN LCPC, NCC

Provider Business Mailing Address
First Line	:	2201 HILLWAY DR
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83702-0929
Country	:	US
Telephone Number	:	208-861-4178
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 N LAKES PL
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83646-5939
Country	:	US
Telephone Number	:	208-342-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2008
Last Update Date	:	11/22/2008

Similar Medicare Providers

1457281636 — DIANA TERESA HENDRICKSON LMSW
Practice Location Address:

1901 N LAKES PL # 150
MERIDIAN, ID
83646-5939

Practice Phone: 208-890-7165
Practice Fax:

1588591242 — ASHLEY JORDAN BULL
Practice Location Address:

1901 N LAKES PL
MERIDIAN, ID
83646-5939

Practice Phone: 208-890-7165
Practice Fax: 208-936-4850

1063569796 — MS. CAMILLA J PEARSON-CAFFERTY LCPC
Practice Location Address:

1910 N LAKES PLACE
MERIDIAN, ID
83646-5939

Practice Phone: 208-342-2273
Practice Fax: 208-893-5484

1982884110 — MRS. HEIDI MARIE LASSER LCPC
Practice Location Address:

1910 N LAKES PL
MERIDIAN, ID
83646-5939

Practice Phone: 208-342-2273
Practice Fax: 208-893-5484

1457993230 — MORGAN MENTAL HEALTH GROUP LLC
Practice Location Address:

1901 N LAKES PL
MERIDIAN, ID
83646-5939

Practice Phone: 208-890-7165
Practice Fax: 208-936-4850

1790309045 — GRACE AT FAIRVIEW LAKES LLC
Practice Location Address:

1960 N LAKES PL
MERIDIAN, ID
83646-5939

Practice Phone: 208-844-8080
Practice Fax:

Directions to “ JENNIFER FISHMAN LCPC, NCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.