Brooke Aspen Reisenbuechler, MSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

ISW18957 Issued in FL

Practice address

4551 Camino Real Way
Fort Myers, FL 33966-1026

Phone

(239) 275-7151

NPI assigned

Nov 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• One More Child Services, Inc.

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1235554783
  NPD (past)

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1316713399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SIKES BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338154499",
            "telephone_number": "863-687-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 CAMINO REAL WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661026",
            "telephone_number": "239-275-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISENBUECHLER",
        "first_name": "BROOKE",
        "middle_name": "ASPEN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "ISW18957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://onemorechild.org/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4551 Camino Real Way",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339661026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denise Reimer, LMCH
• Herica Reina Cepa
• Corrina J Reinek, APRN
• Alissa Robin Reinhardt-Swasey
• Liz Arlet Reinoso, PHARMD
• Jared P. Reiss, PA-C
• Rejuvenx of Ft. Myers, LLC
• Relief MD Rehab Specialists Inc
• Alan Neil Rembos, DDS
• Renaissance Wellness, LLC

• Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.