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

Theresa Fry, LPC

Individual provider Professional Counselor · NPI 1396434643

Theresa Fry, LPC is a Mental Health Counselor in Ypsilanti, Michigan. Qualified in 2004, 22 years ago. Practices with Midwest Wellness LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2023
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4870 W Clark Rd Ste 100
Ypsilanti, MI 48197-1104
Phone: (734) 219-5739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401009029 (MI)

Record details

NPI number1396434643
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedMay 3, 2023
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

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 Midwest Wellness Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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