Individual provider Active NPI

Emily Bronzie, LPC

  • Professional Counselor
  • Port Huron, MI
National Provider Identifier
1801672118
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401223537 Issued in MI
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260123003093 MI Practitioner - Mental Health Counselor 2264919877 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
6401223537MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JJL Consultants LLC CurrentSince Jan 19, 2026 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

Verify at the official NPI Registry.