Active NPI
Jennifer Louise Fisher, LPC
- Professional Counselor
- Brighton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401008719
- Practice address
- 2200 Genoa Business Park Dr Ste 100
Brighton, MI 48114-5328 - Phone
- (517) 492-0517
- Fax
- (810) 215-1334
- NPI assigned
- May 15, 2024
- Last updated
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Counselor | 101Y00000X | 6401008719 | MI | |
| Professional Counselor | 101YP2500X | 6401008719 | MI | Primary |
Addresses
Primary practice location
2200 Genoa Business Park Dr Ste 100
Brighton, MI 48114-5328
Mailing address
2200 Genoa Business Park Dr Ste 100
Brighton, MI 48114-5328
Phone (248) 924-6118
Other practice location 1
7500 Grand River Rd # 290
Brighton, MI 48114-9381
Phone (517) 882-3732
Other names 1
- Jennifer Louise Ferry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401008719 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Mental Health Clinic PC | Professional | Current | Accepting new patients |
| Thrive Counseling LLC | Multi-Specialty | Current | Accepting new patients |
| Downriver Mental Health Clinic PC | Multi-Specialty | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
2200 Genoa Business Park Dr
Ste 100
Brighton, MI 48114
Phone (810) 449-7180
1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787
39500 W 10 Mile Rd
Ste 108
Novi, MI 48375
Phone (248) 888-6800
7333 Triangle Dr
Sterling Hts, MI 48314
Phone (248) 686-3347
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lifestance Health, Inc
- Psychologist
- Taylor, MI
- NPI 1295866135
Multi-Specialty
-
dba Thriveworks
- Mental Health Counselor
- Lynchburg, VA
- NPI 1215181300
MI, Multi-Specialty
-
dba Advanced Counseling Services PC
- Psychologist
- Taylor, MI
- NPI 1104930130
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1356190128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 GENOA BUSINESS PARK DR STE 100",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481145328",
"telephone_number": "248-924-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 GENOA BUSINESS PARK DR STE 100",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481145328",
"telephone_number": "517-492-0517",
"fax_number": "810-215-1334"
}
],
"practiceLocations": [
{
"address_1": "7500 Grand River Rd # 290",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MI",
"postal_code": "481149381",
"country_code": "US",
"telephone_number": "517-882-3732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHER",
"first_name": "JENNIFER",
"middle_name": "LOUISE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-15",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401008719",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401008719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "FERRY",
"middle_name": "LOUISE",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.