Active NPI
Brooke Nicholson, LLC
- Counselor
- Hudsonville, MI
National Provider Identifier
1538045588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451024500
- Practice address
- 3424 Chicago Dr Ste 205
Hudsonville, MI 49426-1411 - Phone
- (616) 426-9034
- NPI assigned
- Aug 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451024500 | MI | Primary |
Addresses
Primary practice location
3424 Chicago Dr Ste 205
Hudsonville, MI 49426-1411
Mailing address
3484 Copper River Ave SW
Grandville, MI 49418-8831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451024500 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Second Story Counseling II LLC | Counselor | Current | Accepting new patients |
Locations
3424 Chicago Dr
Ste 205
Hudsonville, MI 49426
Phone (616) 426-9034
Organizations & group practices 1
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.
-
- Counselor
- Hudsonville, MI
- NPI 1013460716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1538045588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3484 COPPER RIVER AVE SW",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494188831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3424 CHICAGO DR STE 205",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494261411",
"telephone_number": "616-426-9034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "BROOKE",
"credential": "LLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-14",
"last_updated": "2025-08-14",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6451024500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudsonville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.