Nichole Lynn Brady-Kourt, LMSW, SAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801081070 Issued in MI

Practice address

3744 Amber Oaks Dr
Howell, MI 48855

Phone

(734) 489-9729

NPI assigned

Dec 16, 2008

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

• Outside of the Box Counseling Services

  • Community/Behavioral Health Agency
  • Howell, MI
  • NPI 1114545944
  NPD Authorized official

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1316183643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 AMBER OAKS DR",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488557108",
            "telephone_number": "734-489-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 AMBER OAKS DR",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "48855",
            "telephone_number": "734-489-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 S Michigan Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488432681",
            "country_code": "US",
            "telephone_number": "517-292-6966",
            "fax_number": "517-292-2375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY-KOURT",
        "first_name": "NICHOLE",
        "middle_name": "LYNN",
        "credential": "LMSW, SAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801081070",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cheryl Bradetich
• Kelsey Christine Branch
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• Haley Mackenzie Brewer
• Brighton Internal Medicine PLLC
• Lindsey Renee Brightwell, B.S.W

• All providers in Howell, MI
• Clinical Social Worker in Michigan

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