Kimberly Brantigan

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401020275 Issued in MI

Practice address

2250 Butterfield Dr Ste 150
Troy, MI 48084-3478

Phone

(800) 693-1916

Fax

(248) 605-3525

NPI assigned

Feb 10, 2017

Sex

Female

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

State licenses

Practice roles

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.

• Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1669910501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20065 PLANTATION LN",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255049",
            "telephone_number": "313-506-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 BUTTERFIELD DR STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843478",
            "telephone_number": "800-693-1916",
            "fax_number": "248-605-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTIGAN",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401020275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Brand
• Stephanie Shillady Brandimarte, LMSW
• Brandon Ross MD PC
• Danielle E Braniecki, PA-C
• Kinyetta Amour Branner
• Adowa Brashers, MA
• Susan Margaret Bratkowski, RNFA
• Chuck Allen Bratton I, BSW
• Olivia Braun
• Christina Brazil, SLP

• Counselor in Troy, MI
• Providers in Troy, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.