Brand Nubians Mental Health Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRAND NUBIANS MENTAL HEALTH COUNSELING SERVICES, LLC

Practice address

1334 Benjamin Ave SE
Grand Rapids, MI 49506-3229

Phone

(616) 375-0138

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Patrick A Nelson, LLPCNPI 1013549096

Title

Owner

Phone

(616) 375-0138

Specialties & licenses 1

Addresses

Practitioners 1

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

• Patrick A Nelson

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1013549096

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1316665649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 BENJAMIN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063229",
            "telephone_number": "616-375-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 BENJAMIN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063229",
            "telephone_number": "616-375-0138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1334 Benjamin Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495063229",
            "country_code": "US",
            "telephone_number": "616-375-0138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAND NUBIANS MENTAL HEALTH COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-375-0138",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LLPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bessy Ann Braley
• Caleb Braley, RBT
• Stefan Robert Brancel, MD
• Isabelle Hope Branch
• Kelly Lynn Branch, M.A., LPC, LLMFT
• Ellen Rea Brandell, MD
• Benjamin Brander
• Emily Dianne Brandner, AU.D.
• William A Brandner, LPC
• Brandon Jankowski DDS PLLC

• Mental Health Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.