Fellows Counseling & Consulting

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FELLOWS COUNSELING & CONSULTING

Practice address

324 E Dewey St Ste 204
Buchanan, MI 49107-1494

Phone

(269) 697-1673

Fax

(269) 666-6577

NPI assigned

Nov 3, 2023

Last updated

Nov 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Audrey R Fellows, LPC LMHCNPI 1497272975

Title

Professional Counselor

Phone

(269) 697-1673

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audrey Renee Fellows, L.M.H.C

  • Mental Health Counselor
  • South Bend, IN
  • NPI 1497272975
  NPD Authorized official

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1871366583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E DEWEY ST STE 204",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071494",
            "telephone_number": "269-697-1673",
            "fax_number": "269-666-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E DEWEY ST STE 204",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071494",
            "telephone_number": "269-697-1673",
            "fax_number": "269-666-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWS COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "FELLOWS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "269-697-1673",
        "authorized_official_credential": "LPC LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Buchanan, MI
• Providers in Buchanan, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.