Brandie Nicole Samuel, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401016251 Issued in MI

Practice address

6639 Centurion Dr Ste 200
Lansing, MI 48917-8273

Phone

(231) 201-6565

NPI assigned

Jan 11, 2018

Reactivated

Jan 22, 2021

Last updated

May 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Uncomplicated Counseling Services LLC

  • Mental Health Counselor
  • Lansing, MI
  • NPI 1750931630
  NPD
• Samaritas Lutheran Social Services of Michigan

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, MI
  • NPI 1972860005
  NPD (past)
• Victory Clinical Services Lansing

  • Methadone Clinic
  • Lansing, MI
  • NPI 1861627507
  NPD (past)

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1639687759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6639 CENTURION DR STE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178273",
            "telephone_number": "231-201-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6639 CENTURION DR STE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178273",
            "telephone_number": "231-201-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "BRANDIE",
        "middle_name": "NICOLE",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "deactivation_date": "2020-05-27",
        "reactivation_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401016251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eglal H Samir, DO
• Fnu Samreen
• Sams East Inc (Sams Pharmacy 10-4781)
• Sams Homecare LLC
• Eric J Samson, RN
• Brynna Noelle Samuels, MS, RDN, CC
• Unknown Sanam
• Ma. Margarita Alejandrino Sanares, PT
• Michelle Sanchez
• Ellen Patricia Sanders, MSOT, OTR/L

• Mental Health Counselor in Lansing, MI
• Providers in Lansing, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.