Elizabeth Ann Armbruster, LLPC
Individual provider Active NPI Professional Counselor · Port Huron, MI
NPI 1477853141 · NPPES record last updated May 9, 2017
Key facts
- NPI
- 1477853141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401012203 (MI)
- Practice address
- 520 Superior St
Port Huron, MI 48060-3838 - Phone
- (810) 984-4202
- Fax
- (810) 984-8896
- NPI assigned
- Oct 28, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Western Un of HLTH Sciences, Col of Podiatric Med, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
309 Huron Ave
Suite B
Port Huron, MI 48060-3869
3814 Arlington Ave
Fort Gratiot, MI 48059-3756
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251031000521 | MI | Practitioner - Mental Health Counselor | 8527377753 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401012203 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JJL Consultants LLC | Current |
Accepting new patients | |
| Shaw Chiropractic, PC | Past |
Accepting new patients |
Locations
309 Huron Ave
Ste B
Port Huron, MI 48060
Phone (810) 689-9899
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401012203 | MI | Yes |
Addresses
Primary practice location
520 Superior St
Port Huron, MI 48060-3838
Mailing address
520 Superior St
Port Huron, MI 48060-3838
Phone (810) 984-4202
NPI Registry JSON
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1477853141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 SUPERIOR ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603838",
"telephone_number": "810-984-4202",
"fax_number": "810-984-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 SUPERIOR ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603838",
"telephone_number": "810-984-4202",
"fax_number": "810-984-8896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMBRUSTER",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401012203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
- Janet Lynn Arbaugh
- David John Arden
- Leslie Arendoski-McMahan
- Cheryl A Arendoski
- Adam James Armbruster
- Ryleigh Ann Armbruster
- Sharon Rose Armstrong
- Lisa Kristine Arnett
- Vasken S Artinian
- Arunas S Vaitiekaitis DDS PC
All providers in Port Huron, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.