Brooke Lynn Aggeler, MSC, LPC

Individual provider Active NPI Professional Counselor · Grand Rapids, MI

NPI 1780937292 · NPPES record last updated Mar 20, 2024

Key facts

NPI
1780937292
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6401013416 (MI)
Practice address
1101 Ball Ave NE
Grand Rapids, MI 49505-5904
Phone
(616) 456-6571
Fax
(616) 456-8568
NPI assigned
Oct 22, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Circle Corporation Past
since Feb 14, 2011
Accepting new patients
Arbor Circle Corporation Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X 6401013416 MI Yes

Addresses

Primary practice location

1101 Ball Ave NE
Grand Rapids, MI 49505-5904

Mailing address

1101 Ball Ave NE
Grand Rapids, MI 49505-5904
Phone (616) 456-6571

Other practice location 1

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone (616) 336-3909

Other names

  • Brooke Lynn Rockwell Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address pcerecords.network180.x@direct.mihin.net Direct

Other providers in Grand Rapids, MI

All providers in Grand Rapids, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.