Amy Rebecca Brockschmidt, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401013612 Issued in MI

Practice address

Ten16 Recovery Network
1302 Chatterton St. 2
Gladwin, MI 48624

Phone

(989) 426-8886

NPI assigned

May 3, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midmichigan Health Services

  • Federally Qualified Health Center (FQHC)
  • Houghton Lake, MI
  • NPI 1912998287

  MI

  Medicare reassignment NPD
• Rebuild Counseling LLC

  • Multi-Specialty Clinic/Center
  • Coleman,, MI
  • NPI 1164306478
  NPD Authorized official
• Midmichigan Health Services

  • Federally Qualified Health Center (FQHC)
  • Beaverton, MI
  • NPI 1164262721
  NPD
• Midmichigan Health Services

  • Federally Qualified Health Center (FQHC)
  • Harrison, MI
  • NPI 1891385498
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1023453040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 E PARIS AVE SE",
            "address_2": "ST. 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462426",
            "telephone_number": "616-929-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEN16 RECOVERY NETWORK",
            "address_2": "1302 CHATTERTON ST. 2",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "48624",
            "telephone_number": "989-426-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKSCHMIDT",
        "first_name": "AMY",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401013612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bratton Clinic PC
• Richard Dix Bratton Jr., D.O.
• Erika Breault, CHW
• Lisa Suzanne Brewer, MOTR
• Jessica Briggs
• Lanelle Lyn Brown, ADN, RN-BC
• Jessica Bucher, NBC-HWC
• Saydee Savannah Cairns
• Janell Camp
• Laura Campbell

• Mental Health Counselor in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.