Nicole Y Brummel, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

4050 Del Mar Dr SW
Wyoming, MI 49418-8870

Phone

(616) 377-2283

NPI assigned

Sep 19, 2022

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

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Kristine Koetje Ma, PC

  dba Compassionate Christian Counseling

  • Psychologist
  • Spring Lake, MI
  • NPI 1316010770
  Medicare reassignment NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1780306456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 DEL MAR DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494188870",
            "telephone_number": "616-377-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 DEL MAR DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494188870",
            "telephone_number": "616-377-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMEL",
        "first_name": "NICOLE",
        "middle_name": "Y",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "plantingdeeproots.com",
            "affiliation": "Y",
            "endpointDescription": "Clinic website",
            "affiliationName": "Roots Therapeutic Specialty Services",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other contact",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4050 Del Mar Dr SW",
            "city": "Wyoming",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494188870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tamara Jennifer Brown, LMSW, LCSW
• Tiffany Brown, MS, RD
• Vicki Brown
• Linda S Bruinsma, DC
• Debra Brule
• Cristian Ricardo Craciun Brutten, DDS
• Gail K Bryan-Besteman, M.D.
• David Bryska, MD
• Olivia Buckley
• Erik Budz, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.