Individual provider Active NPI

Nika Lenee Fesler, LPC

  • Counselor
  • Grand Rapids, MI
National Provider Identifier
1215386487
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2566 Woodmeadow Dr SE
Grand Rapids, MI 49546-8031
Phone
(616) 855-4752
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2566 Woodmeadow Dr SE
Grand Rapids, MI 49546-8031

Mailing address

2566 Woodmeadow Dr SE
Grand Rapids, MI 49546-8031
Phone (989) 295-8008

Other practice location 1

623 Dahl Rd
Spearfish, SD 57783-2782
Phone (605) 642-2777

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connecting Inward Counselor Current Accepting new patients
Behavior Management Systems, Inc. PastSince Jun 1, 2009 Accepting new patients

Locations

401 Hall St SW
Ste 185B
Grand Rapids, MI 49503
Phone (616) 275-4445

Organizations & group practices 2

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1215386487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 WOODMEADOW DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468031",
            "telephone_number": "989-295-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 WOODMEADOW DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468031",
            "telephone_number": "616-855-4752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 Dahl Rd",
            "address_purpose": "LOCATION",
            "city": "Spearfish",
            "state": "SD",
            "postal_code": "577832782",
            "country_code": "US",
            "telephone_number": "605-642-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FESLER",
        "first_name": "NIKA",
        "middle_name": "LENEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.