Brandon Robert Peter Mielke, PHD, LPC, NCC, CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401223756 Issued in MI

Practice address

1982 E Mitchell Rd
Petoskey, MI 49770-9603

Phone

(231) 622-5800

NPI assigned

May 11, 2020

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21307/brand/1/csg/1/fhir/r4

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.

• Walloon Lake Recovery Lodge, LLC

  • Substance Abuse Rehabilitation Facility
  • Boyne Falls, MI
  • NPI 1750791505
  Medicare reassignment
• Bear River Primary Care

  • Family Medicine Physician
  • Gaylord, MI
  • NPI 1609427541
  NPD
• Real Life Counseling of Northern Michigan

  • Professional Counselor
  • Petoskey, MI
  • NPI 1396585840

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1760004907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 N LYNN ST",
            "city": "ONAWAY",
            "state": "MI",
            "postal_code": "497658914",
            "telephone_number": "586-337-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1982 E MITCHELL RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709603",
            "telephone_number": "231-622-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELKE",
        "first_name": "BRANDON",
        "middle_name": "ROBERT PETER",
        "credential": "PHD, LPC, NCC, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Merrow, MSW, LMSW
• Kennedy Mesnard
• Ryan Miceli
• Michael W Johnson, MD, PC
• Michigan Heart & Vascular Specialists, PC
• Jacob A Milbrandt, DPT
• Joseph Andrew Milbrandt, PHARMD
• Miles W Trumble MD PLLC
• David K Miller Jr., DDS
• Cory Mills, DNP, A-GNP-C, RN

• Professional Counselor in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.