Active NPI
Mikayla Brooks, BA, CADC-DP
- Addiction (Substance Use Disorder) Counselor
- Ann Arbor, MI
National Provider Identifier
1053182832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 4673 Washtenaw Ave
Ann Arbor, MI 48108-1301 - Phone
- (734) 547-5009
- NPI assigned
- Jan 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
4673 Washtenaw Ave
Ann Arbor, MI 48108-1301
Mailing address
4673 Washtenaw Ave
Ann Arbor, MI 48108-1301
Other practice location 1
3250 N Monroe St Ste 2
Monroe, MI 48162-9297
Phone (734) 384-3121
Other practice location 2
1010 E West Maple Rd
Walled Lake, MI 48390-3571
Phone (248) 525-6832
Other practice location 3
1685 Baldwin Ave Ste 400
Pontiac, MI 48340-1242
Phone (248) 977-3758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1053182832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4673 WASHTENAW AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4673 WASHTENAW AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081301",
"telephone_number": "734-547-5009"
}
],
"practiceLocations": [
{
"address_1": "3250 N Monroe St Ste 2",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "MI",
"postal_code": "481629297",
"country_code": "US",
"telephone_number": "734-384-3121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 E West Maple Rd",
"address_purpose": "LOCATION",
"city": "Walled Lake",
"state": "MI",
"postal_code": "483903571",
"country_code": "US",
"telephone_number": "248-525-6832",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1685 Baldwin Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483401242",
"country_code": "US",
"telephone_number": "248-977-3758",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "MIKAYLA",
"credential": "BA, CADC-DP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-11",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.