NPIMap

Organization Active NPI

Michelle Brockington LLC

  • Mental Health Counselor
  • Ionia, MI
National Provider Identifier
1265035729
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MICHELLE BROCKINGTON LLC
Practice address
441 Swartz CT
Ionia, MI 48846-2157
Phone
(517) 775-7609
NPI assigned
Nov 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Michelle BrockingtonNPI 1386282093
Title
Llmsw, Counselor
Phone
(517) 775-7609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

441 Swartz CT
Ionia, MI 48846-2157

Mailing address

11390 E Pakes Rd
Crystal, MI 48818

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1265035729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11390 E PAKES RD",
            "city": "CRYSTAL",
            "state": "MI",
            "postal_code": "48818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 SWARTZ CT",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488462157",
            "telephone_number": "517-775-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE BROCKINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "BROCKINGTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LLMSW, COUNSELOR",
        "authorized_official_telephone_number": "517-775-7609"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ionia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.