Organization Active NPI

Wayward Minds Counseling Services, LLC

  • Mental Health Counselor
  • Petoskey, MI
National Provider Identifier
1740057173
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WAYWARD MINDS COUNSELING SERVICES, LLC
Practice address
3890 Charlevoix Rd Ste 306
Petoskey, MI 49770-8423
Phone
(231) 445-1065
NPI assigned
Dec 6, 2023
Organization subpart
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

Authorized official

Name
Jordan FighterNPI 1154859114
Title
Owner/Limited License Counselor
Phone
(231) 445-1065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 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

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761350400000",
    "number": "1740057173",
    "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": "231-445-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYWARD MINDS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A",
        "authorized_official_last_name": "FIGHTER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER/LIMITED LICENSE COUNSELOR",
        "authorized_official_telephone_number": "231-445-1065"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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.