Active NPI
Brandon Reese Yerebeck, LPC
- Mental Health Counselor
- Howell, MI
National Provider Identifier
1346804499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401020305
- Practice address
- 745 S Walnut St
Howell, MI 48843-2579 - Phone
- (517) 376-3002
- NPI assigned
- Apr 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401020305 | MI | Primary |
| Mental Health Counselor | 101YM0800X | 6401017149 | MI |
Addresses
Primary practice location
745 S Walnut St
Howell, MI 48843-2579
Mailing address
1660 Heron Loop Dr
Howell, MI 48855-6460
Phone (734) 255-9448
Other practice location 1
27780 Novi Rd Ste 244
Novi, MI 48377-3427
Phone (248) 916-2855
Other practice location 2
1777 Axtell Dr Ste 100
Troy, MI 48084-4400
Phone (248) 613-5377
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
745 S Walnut St
Howell, MI 48843-2579
Phone (517) 376-3002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017149 | MI | MD | Mental Health Counselor |
| 6401020305 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Counseling and Psychological Services PC | Current | Accepting new patients | |
| Sollars and Associates | Past | Accepting new patients |
Locations
745 S Walnut St
Howell, MI 48843
Phone (201) 730-2462
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Howell, MI
- NPI 1255963815
-
- Psychologist
- Sterling Heights, MI
- NPI 1538482187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1346804499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 HERON LOOP DR",
"city": "HOWELL",
"state": "MI",
"postal_code": "488556460",
"telephone_number": "734-255-9448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 S WALNUT ST",
"city": "HOWELL",
"state": "MI",
"postal_code": "488432579",
"telephone_number": "517-376-3002"
}
],
"practiceLocations": [
{
"address_1": "27780 Novi Rd Ste 244",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483773427",
"country_code": "US",
"telephone_number": "248-916-2855",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1777 Axtell Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480844400",
"country_code": "US",
"telephone_number": "248-613-5377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEREBECK",
"first_name": "BRANDON",
"middle_name": "REESE",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-24",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401020305",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401017149",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.