PHYLLIS POWERS-FATA
NPI 1619464476
Counselor - Professional in Grand Rapids, MI

Active since April 17, 2018
5242 PLAINFIELD AVE NE STE C, GRAND RAPIDS, MI 49525(616) 340-4217 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis Powers-fata NPPES

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

PHYLLIS POWERS-FATA (NPI 1619464476) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401006559) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1619464476
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePHYLLIS POWERS-FATA
Location Address5242 PLAINFIELD AVE NE STE CGrand Rapids, MI 49525-1084
Mailing Address6260 Red Ash CtCaledonia, MI 49316-7468
Sole ProprietorYes
Enumeration DateApril 17, 2018
NPI 1619464476 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 · 6401006559
5242 PLAINFIELD AVE NE STE C, Grand Rapids, MI 49525

Other Providers at the Same Location NPPES 13

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

Community/Behavioral Health
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Counselor (Professional)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Counselor (Professional)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Counselor (Mental Health)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Counselor (Professional)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Counselor (Professional)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525

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 Phyllis Powers-fata's NPI number?

The NPI number for Phyllis Powers-fata is 1619464476. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Phyllis Powers-fata located?

Phyllis Powers-fata practices at 5242 Plainfield Ave NE Ste C, Grand Rapids, MI 49525. The listed phone number is (616) 340-4217.

What is Phyllis Powers-fata'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 Phyllis Powers-fata was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.