Active NPI
Michaela Jean Fischer, LPC-IT
- Mental Health Counselor
- Madison, WI
National Provider Identifier
1619710985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7962-226
- Practice address
- 6502 Grand Teton PLZ Ste 102
Madison, WI 53719-1047 - Phone
- (608) 827-7220
- NPI assigned
- Jun 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7962-226 | WI | Primary |
Addresses
Primary practice location
6502 Grand Teton PLZ Ste 102
Madison, WI 53719-1047
Mailing address
2676 Sylver Ridge LN
Sun Prairie, WI 53590-9223
Phone (608) 512-7464
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7962-226 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Center for Change LLC | Multi-Specialty | Current | Accepting new patients |
Locations
6502 Grand Teton Plz
Ste 102
Madison, WI 53719
Phone (608) 827-7220
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1215068069
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1619710985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2676 SYLVER RIDGE LN",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535909223",
"telephone_number": "608-512-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6502 GRAND TETON PLZ STE 102",
"city": "MADISON",
"state": "WI",
"postal_code": "537191047",
"telephone_number": "608-827-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "MICHAELA",
"middle_name": "JEAN",
"credential": "LPC-IT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-14",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "7962-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.