Healthcare Provider Details

I. General information

NPI: 1043105596
Provider Name (Legal Business Name): FISCHER COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3940 PENINSULAR DR SE STE 230
GRAND RAPIDS MI
49546-6187
US

IV. Provider business mailing address

2150 PINEWOOD ST
JENISON MI
49428-9118
US

V. Phone/Fax

Practice location:
  • Phone: 616-227-0815
  • Fax:
Mailing address:
  • Phone: 616-438-2931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: NATALIE ELIZABETH FISCHER
Title or Position: PSYCHOTHERAPIST
Credential: LPC
Phone: 616-438-2931