Kimberly Ann Breukink, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801101402 Issued in MI

Practice address

463 East Circle Drive, Michigan State University
Counseling and Psychiatric Services,
East Lansing, MI 48824

Phone

(517) 355-8270

NPI assigned

Sep 19, 2017

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710406046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11724 TARA CT",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488207785",
            "telephone_number": "517-974-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 EAST CIRCLE DRIVE, MICHIGAN STATE UNIVERSITY",
            "address_2": "COUNSELING AND PSYCHIATRIC SERVICES,",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48824",
            "telephone_number": "517-355-8270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "748 W Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481162392",
            "country_code": "US",
            "telephone_number": "517-974-3448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREUKINK",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101402",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801101402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy M Breen, PT
• Brittany Renee Breitzke, DO
• Brandie Brenske, PTA
• Mei Bresnahan, LMSW
• Salena Bretz
• Elizabeth Brewster, MS
• Bridges to Healing Counseling PLLC
• Eileen Bridges, M.A.,CCC-A
• Bridging Communities & Counseling Services LLC
• Laura M Brisboe, CNP

• Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.