Timothy Morris Brubaker

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.2204756 Issued in OH

Practice address

275 Martinel Dr
Kent, OH 44240-4380

Phone

(330) 673-6339

NPI assigned

Jun 30, 2021

Last updated

Jan 6, 2023By the provider in NPPES

Sex

Male

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

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridges Community Services IncGroup PAC ID 4688010127, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Bridges Community Services Inc

  • Mental Health Counselor
  • Murrieta, CA
  • NPI 1245009612

  OH

  Medicare reassignment Care Compare group NPD
• Bridges Community Services Inc

  • Counselor
  • Murrieta, CA
  • NPI 1508582818
  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1760052724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W RANDY ST",
            "city": "NEW FRANKLIN",
            "state": "OH",
            "postal_code": "442034822",
            "telephone_number": "330-603-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MARTINEL DR",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404380",
            "telephone_number": "330-673-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "TIMOTHY",
        "middle_name": "MORRIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204756",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra D. Brown
• Cory Lynn Brown
• Iyisha Brown
• Jacob Brown
• Valerie Browning
• Laura Beth Brumfield, LPN
• Mary Beth Brutz, MSW/LISW
• Rhiannon Bruzda
• Buckeye Commons Care & Rehabilitation LLC (Buckeye Commons Care & Rehabilitation)
• Elizabeth S Bujack, DDS MSD

• Professional Counselor in Kent, OH
• Providers in Kent, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.