Susan A Brooks, LMFT
Individual provider Active NPI Marriage & Family Therapist · Onekama, MI
NPI 1326353285 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1326353285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 4101006415 (MI)
- Practice address
- 1961 2ND St
Onekama, MI 49675-8729 - Phone
- (269) 679-7217
- NPI assigned
- Aug 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401014076 | MI | MD | Professional Counselor |
| 4101006415 | MI | MD | Marriage & Family Therapist |
| 845-124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooks Family Counseling LLC | Professional | Current |
Accepting new patients |
| Family Counseling and Mediation Services LLC | Current | Accepting new patients |
Locations
4017 W Main St
Ste 100
Kalamazoo, MI 49006
Phone (269) 205-6339
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 845-124 | WI | |
| Marriage & Family Therapist | 106H00000X | 4101006415 | MI | Yes |
| Professional Counselor | 101YP2500X | 6401014076 | MI |
Addresses
Primary practice location
1961 2ND St
Onekama, MI 49675-8729
Mailing address
1961 2ND St
Onekama, MI 49675-8729
Phone (269) 679-7217
Other providers in Onekama, MI
- Brooks Family Counseling LLC
- Laurie Lee Porter
- Kimberly Jean Sinke
- West Shore Health Centers Corporation
- West Shore Health Centers Corporation
All providers in Onekama, MI · Marriage & Family Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.