Active NPI
Sunnybrook Counseling Services, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Laingsburg, MI
National Provider Identifier
1063122372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SUNNYBROOK COUNSELING SERVICES, LLC
- Practice address
- 209 W 1St North St
Laingsburg, MI 48848-9651 - Phone
- (517) 213-1993
- NPI assigned
- Nov 28, 2022
- Last updated
- Nov 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Noffke, LMSW
- Title
- Owner
- Phone
- (517) 213-1993
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
209 W 1St North St
Laingsburg, MI 48848-9651
Mailing address
209 W 1St North St
Laingsburg, MI 48848-9651
Phone (517) 213-1993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230315000505 | MI | Part B Supplier - Clinic/Group Practice | 2961876917 | Practice locations: Laingsburg, MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Saint Johns, MI
- NPI 1144720129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669593600000",
"number": "1063122372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 W 1ST NORTH ST",
"city": "LAINGSBURG",
"state": "MI",
"postal_code": "488489651",
"telephone_number": "517-213-1993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 W 1ST NORTH ST",
"city": "LAINGSBURG",
"state": "MI",
"postal_code": "488489651",
"telephone_number": "517-213-1993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNNYBROOK COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A",
"authorized_official_last_name": "NOFFKE",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-213-1993",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laingsburg, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.