Jeremy A Biesbrouck, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

100 Malton Rd Ste 7
Negaunee, MI 49866-2002

Phone

(906) 464-0002

NPI assigned

Apr 24, 2013

Last updated

Jun 8, 2022By the provider in NPPES

Sex

Male

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)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great Lakes Recovery Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hancock, MI
  • NPI 1023493152
  NPD (past)
• Great Lakes Recovery Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Escanaba, MI
  • NPI 1679714083
  NPD (past)
• Great Lakes Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Ironwood, MI
  • NPI 1821267956
  NPD (past)

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1437593134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W CLARK ST",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498661623",
            "telephone_number": "906-233-1322",
            "fax_number": "906-233-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MALTON RD STE 7",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498662002",
            "telephone_number": "906-464-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 W Water St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Hancock",
            "state": "MI",
            "postal_code": "499301950",
            "country_code": "US",
            "telephone_number": "906-482-7710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Roosevelt St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ironwood",
            "state": "MI",
            "postal_code": "499381737",
            "country_code": "US",
            "telephone_number": "906-364-7506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 S Hemlock St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "498013800",
            "country_code": "US",
            "telephone_number": "906-774-2561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 W Ridge St Ste C",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498553997",
            "country_code": "US",
            "telephone_number": "906-228-6545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 S 4th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Ishpeming",
            "state": "MI",
            "postal_code": "498492168",
            "country_code": "US",
            "telephone_number": "906-228-9699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 S 4th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Ishpeming",
            "state": "MI",
            "postal_code": "498492168",
            "country_code": "US",
            "telephone_number": "906-228-9699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Ludington St Ste H",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498293565",
            "country_code": "US",
            "telephone_number": "906-789-3528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIESBROUCK",
        "first_name": "JEREMY",
        "middle_name": "A",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Baily
• Kenna Baker
• Patricia Beaudry
• Logan C Bedford
• Nicholas Richard Benda, CRNA
• Taylor Rae Black
• Bloom Counseling & Wellness
• Bianca Nicole Bohen
• Eddy Arnold Bourdeau
• Hillary Brandenburg, RN, BSN, SANE-A

• Behavior Analyst in Negaunee, MI
• Providers in Negaunee, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.