CHRISTINA FONG
NPI 1073382560
Counselor - Professional in Grand Rapids, MI

Active since December 26, 2023
30 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 303-1313 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christina Fong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINA FONG (NPI 1073382560) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6451023383) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1073382560
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHRISTINA FONG
Location Address30 JEFFERSON AVE SEGrand Rapids, MI 49503-4304
Mailing Address56 Monroe Center St Nw Apt 4Grand Rapids, MI 49503-2937 · (616) 965-6696
Sole ProprietorYes
Enumeration DateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
NPI 1073382560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6451023383
30 JEFFERSON AVE SE, Grand Rapids, MI 49503

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christina Fong's NPI number?

The NPI number for Christina Fong is 1073382560. It was assigned to this individual provider in the NPPES registry on December 26, 2023.

Where is Christina Fong located?

Christina Fong practices at 30 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 303-1313.

What is Christina Fong's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Christina Fong was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.