Organization Active NPI

Monarch Bay Wellness, PLLC

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1265352850
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MONARCH BAY WELLNESS, PLLC
Practice address
1599 Allen Rd
Traverse City, MI 49696-8816
Phone
(231) 492-0091
NPI assigned
Jul 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Brooke Champt, LCSWNPI 1003238007
Title
Managing Member
Phone
(231) 492-0091

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1599 Allen Rd
Traverse City, MI 49696-8816

Mailing address

1599 Allen Rd
Traverse City, MI 49696-8816
Phone (231) 492-0091

Other practice location 1

1015 Noteware Dr Ste A
Traverse City, MI 49686-8110
Phone (231) 492-0091

National Provider Directory

National Provider Directory

Locations

1015 Noteware Dr
Ste A
Traverse City, MI 49686

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": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1265352850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 ALLEN RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968816",
            "telephone_number": "231-492-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 ALLEN RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968816",
            "telephone_number": "231-492-0091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Noteware Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496868110",
            "country_code": "US",
            "telephone_number": "231-492-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONARCH BAY WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "CHAMPT",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "231-492-0091",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.