Jodi L Brumbaugh, MA, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88002009A Issued in IN

Practice address

217 E Southway Blvd Ste 101
Kokomo, IN 46902-3577

Phone

(765) 553-4523

NPI assigned

Apr 4, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1477059871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E SOUTHWAY BLVD STE 101",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E SOUTHWAY BLVD STE 101",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023577",
            "telephone_number": "765-553-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBAUGH",
        "first_name": "JODI",
        "middle_name": "L",
        "credential": "MA, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88002009A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabrion Brown
• Walter C. Brown II, D.D.S.
• Jeffrey Stephen Browne, M.D.
• Ariane Browning
• Bruce B. Wiland, DDS, MSD
• Michael Darrell Brunk, B.S.ED.
• Bayley Brutus
• Rachel Louise Brutus, M.A., CCC-SLP
• Ashley Christine Bryant, NP
• Carley Buck, RBT

• All providers in Kokomo, IN
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.