Active NPI
Emily Bronzie, LPC
- Professional Counselor
- Port Huron, MI
National Provider Identifier
1801672118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401223537
- Practice address
- 309 Huron Ave Ste B
Port Huron, MI 48060-3869 - Phone
- (810) 689-9899
- Fax
- (810) 662-0255
- NPI assigned
- Sep 1, 2023
- Last updated
- Sep 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401223537 | MI | Primary |
Addresses
Primary practice location
309 Huron Ave Ste B
Port Huron, MI 48060-3869
Mailing address
309 Huron Ave Ste B
Port Huron, MI 48060-3869
Phone (810) 689-9899
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Oakland College of Medicine and Surgery, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1283 River Rd
Saint Clair, MI 48079-2805
309 Huron Ave
Suite B
Port Huron, MI 48060-3869
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401223537 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JJL Consultants LLC | Current | Accepting new patients |
Locations
309 Huron Ave
Ste B
Port Huron, MI 48060
Phone (810) 689-9899
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1801672118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 HURON AVE STE B",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603869",
"telephone_number": "810-689-9899",
"fax_number": "810-662-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 HURON AVE STE B",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603869",
"telephone_number": "810-689-9899",
"fax_number": "810-662-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONZIE",
"first_name": "EMILY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-01",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401223537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.