Individual provider Active NPI

Jordan Fighter

  • Mental Health Counselor
  • Petoskey, MI
National Provider Identifier
1154859114
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451023338 Issued in MI
Practice address
3890 Charlevoix Rd Ste 306
Petoskey, MI 49770-8423
Phone
(231) 412-0660
NPI assigned
Jun 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451023338 MI Primary

Addresses

Primary practice location

3890 Charlevoix Rd Ste 306
Petoskey, MI 49770-8423

Mailing address

3890 Charlevoix Rd Ste 306
Petoskey, MI 49770-8423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6451023338MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wayward Minds Counseling Services, LLC Mental Health CurrentSince Dec 10, 2023 Accepting new patients

Locations

8482 M 119
Unit 18B
Harbor Springs, MI 49740

6301 M 68 Hwy
Indian River, MI 49749
Phone (231) 203-3231

3890 Charlevoix Rd
Ste 306
Petoskey, MI 49770
Phone (231) 622-3552

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1154859114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 CHARLEVOIX RD STE 306",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 CHARLEVOIX RD STE 306",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708423",
            "telephone_number": "231-412-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGHTER",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.