Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alicia V Fahr, PHDLPC

Individual provider Mental Health Counselor · NPI 1720242399

Dr. Alicia V Fahr, PHDLPC is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2004, 22 years ago. Practices with Sailor Health Medical PA, a 263-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Michigan.

Years since qualifying
22
Licensed in
IL, MI
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 455-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1361 Branchwood Cir Apt 201, Naperville, IL 60563-4107 — (612) 747-0414

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401224437 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6401224437 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 180.016233 (IL)

Record details

NPI number1720242399
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDLPC
Sole proprietorNo
NPI enumeratedJuly 14, 2008
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Sailor Health Medical Pa — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Grand Rapids