Individual provider Active NPI

Emily Anna Brouwers

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1215420641
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016664 Issued in MI
Practice address
625 Kenmoor Ave SE Ste 301
Grand Rapids, MI 49546-2395
Phone
(616) 209-9142
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401016664 MI Primary

Addresses

Primary practice location

625 Kenmoor Ave SE Ste 301
Grand Rapids, MI 49546-2395

Mailing address

1451 Lake Dr SE # 6062
Grand Rapids, MI 49506-1760
Phone (616) 209-9142

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250630001814 MI Practitioner - Mental Health Counselor 3173036571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

625 Kenmoor Ave SE
Grand Rapids, MI 49546-2395
Phone (616) 209-9142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401016664MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Brouwers Counseling LLC Professional CurrentSince May 11, 2025 Accepting new patients
Martino Health & Wellness PastSince Jan 26, 2025 Accepting new patients

Locations

625 Kenmoor Ave SE
Ste 301
Grand Rapids, MI 49546
Phone (231) 519-8300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1215420641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 LAKE DR SE # 6062",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061760",
            "telephone_number": "616-209-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 301",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-209-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUWERS",
        "first_name": "EMILY",
        "middle_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.