Kimberly Irene Marie Brown, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

693948 Issued in MI

Practice address

17005 Pickett Lane
Nunica, MI 49448

Phone

(616) 430-1103

Fax

(231) 201-9383

NPI assigned

Feb 27, 2007

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Plainfield Community Counseling

  • Psychologist
  • Grand Rapids, MI
  • NPI 1205952843
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1275660185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17005 PICKETT LANE",
            "city": "NUNICA",
            "state": "MI",
            "postal_code": "49448",
            "telephone_number": "616-430-1103",
            "fax_number": "231-201-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17005 PICKETT LANE",
            "city": "NUNICA",
            "state": "MI",
            "postal_code": "49448",
            "telephone_number": "616-430-1103",
            "fax_number": "231-201-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIMBERLY",
        "middle_name": "IRENE MARIE",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "693948",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401007132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark N Anderson, BA
• Sharon Andree
• Meredith Lynn Block, MA, CCC-SLP
• Cheryl Ann Breithaupt, LMSW
• Bright Hope Counseling Services, LLC
• Brya Health
• Timothy James Buchholz, RN
• Centerpoint Home Care
• Iesha Collins, MA, LLP
• Tara Cuti

• Professional Counselor in Nunica, MI
• Providers in Nunica, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.