Brooke Illig

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801098067 Issued in MI

Practice address

3481 Pointer Rd
West Branch, MI 48661-9624

Phone

(989) 787-0640

NPI assigned

Jun 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Michigan State University College of Human Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Open Window Counseling

  • Clinical Social Worker
  • West Branch, MI
  • NPI 1124785191
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1194174623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 POINTER RD",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619624",
            "telephone_number": "989-787-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 POINTER RD",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619624",
            "telephone_number": "989-787-0640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Cedar St",
            "address_purpose": "LOCATION",
            "city": "Standish",
            "state": "MI",
            "postal_code": "486589421",
            "country_code": "US",
            "telephone_number": "989-846-4573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILLIG",
        "first_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2022-02-23",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098067",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801098067",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194174623",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hospice Advantage, LLC
• Hospice Advantage, LLC.
• Hospice of Helping Hands, Inc.
• Lisa Hubel
• Charles E Hurst
• In Home Health LLC
• In Home Health, LLC
• Innovative Technologies, Inc.
• J.M.T. Counseling Services
• Jagannathan Neurosurgical Institute PLLC

• Clinical Social Worker in West Branch, MI
• Providers in West Branch, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.