DR. ALICIA V FAHR PH.D. LPC
NPI 1720242399
Counselor - Professional in Grand Rapids, MI

Active since July 14, 2008PECOS EnrolledAccepts Medicare Assignment
300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 455-5000 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 27, 2024, Aug 22, 2023 (2 updates tracked since 2023).

About Dr. Alicia V Fahr Ph.d. Lpc NPPES

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

DR. ALICIA V FAHR PH.D. LPC (NPI 1720242399) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401224437) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Naperville, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1720242399
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. ALICIA V FAHRCredential: PH.D. LPC
Location Address300 68TH ST SEGrand Rapids, MI 49548-6927
Mailing Address1361 Branchwood Cir Apt 201Naperville, IL 60563-4107 · (612) 747-0414
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 14, 2008
Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1720242399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401224437
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401224437 (MI), 180.016233 (IL)
300 68TH ST SE, Grand Rapids, MI 49548

Secondary Practice Location 1

Location 11361 Branchwood Cir Apt 201Naperville, IL 60563-4107 · Phone (612) 747-0414

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alicia V Fahr Ph.d. Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264804020
PECOS Enrollment IDI20240321000737, I20240814001746, I20250117002378
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Alicia Fahr reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
300 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 135 clinicians in this Medicare group
Nurse Practitioner
2201 MAIN ST
Evanston, IL 60202
  • Reassigned Medicare billing, Illinois enrollment
  • 191 clinicians in this Medicare group
Mental Health
220 W CONGRESS ST
Detroit, MI 48226
  • Reassigned Medicare billing, Michigan enrollment
  • 12 clinicians in this Medicare group
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, California enrollment
  • 117 clinicians in this Medicare group
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Arizona, District of Columbia, Virginia and Washington enrollments
  • 18 clinicians in this Medicare group
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, District of Columbia, Illinois and Michigan enrollments
  • 38 clinicians in this Medicare group
Psychologist
4325 W SUNSET BLVD, 206
Los Angeles, CA 90029
  • Reassigned Medicare billing, California enrollment
  • 104 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
88 services39 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
43 services43 patients

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Behavior Analyst
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Counselor (Mental Health)
300 68TH ST SE
GRAND RAPIDS, MI 49548

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 Alicia Fahr's NPI number?

The NPI number for Alicia Fahr is 1720242399. It was assigned to this individual provider in the NPPES registry on July 14, 2008.

Where is Alicia Fahr located?

Alicia Fahr practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 455-5000.

What is Alicia Fahr's specialty?

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

Is Alicia Fahr enrolled in Medicare?

Yes. Alicia Fahr is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alicia Fahr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Fahr reassigns Medicare benefits to 7 organizations: Pine Rest Christian Mental Health Services (Grand Rapids, MI), Cmc Healthcare LLC (Evanston, IL), Stellar Clinic Ct PLLC (Detroit, MI), Blue Moon Senior Counseling Of California LLC (Plainfield, IL), Bmsc Az LLC (Plainfield, IL) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicia Fahr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Fahr accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Texas, Oscar Health and Oscar Insurance Company and 2 other insurers list Alicia Fahr as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alicia Fahr was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.