Individual provider Active NPI

Stephanie Rose Fisher

  • Mental Health Counselor
  • Byron Center, MI
National Provider Identifier
1629624390
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401017534 Issued in MI
Practice address
7616 Clyde Park Ave SW Ste G
Byron Center, MI 49315-9541
Phone
(616) 591-6431
NPI assigned
Aug 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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 6401017534 MI Primary

Addresses

Primary practice location

7616 Clyde Park Ave SW Ste G
Byron Center, MI 49315-9541

Mailing address

1431 Andrew St SE
Kentwood, MI 49508-4813
Phone (616) 325-8997

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
6401017534MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West in Progress Mental Health Current Accepting new patients

Locations

7616 Clyde Park Ave SW
Ste G
Byron Center, MI 49315
Phone (616) 591-6431

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": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1629624390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 ANDREW ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084813",
            "telephone_number": "616-325-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 CLYDE PARK AVE SW STE G",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159541",
            "telephone_number": "616-591-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "STEPHANIE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-17",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.