Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thad William Fisher, MA, MDIV

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1912434051

Thad William Fisher, MA, MDIV is a Mental Health Counselor in Chicago, Illinois. Qualified in 2017, 9 years ago. Practices with Rockford Psychiatric Medical Services SC, a 151-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
9
In the registry since
2017
Specialties on file
6
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

6417 W Irving Park Rd
Chicago, IL 60634-2437
Phone: (773) 777-7112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Pastoral Counselor Taxonomy 101YP1600X
Professional Counselor Taxonomy 101YP2500X
Religious Nonmedical Practitioner Taxonomy 374K00000X

Record details

NPI number1912434051
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , MDIV
Sole proprietorNo
NPI enumeratedMay 19, 2017
Last updated in NPPESMay 19, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Rockford Psychiatric Medical Services Sc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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