Kristen K Brubaker, LSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

S.1101024 Issued in OH

Practice address

1100 Wayne St Ste 3400
Troy, OH 45373-3048

Phone

(937) 335-3701

NPI assigned

Oct 13, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Isaiahs Place Inc

  • Foster Care Agency
  • Troy, OH
  • NPI 1962969469
  NPD (past)
• Samaritan Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1235490939
  NPD (past)

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1811368186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453730220",
            "telephone_number": "937-335-3701",
            "fax_number": "937-335-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WAYNE ST STE 3400",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733048",
            "telephone_number": "937-335-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S Edwin C Moses Blvd",
            "address_2": "Samaritan Behavioral Health Inc, 1st Floor, NW Bldg",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454173424",
            "country_code": "US",
            "telephone_number": "937-734-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "KRISTEN",
        "middle_name": "K",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "S.1101024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L Brown, MD
• Evelyn Sarah Brown, M.D.
• Molly Brown, COTA/L
• Vicki Brown
• Elisa Brubaker
• Kristen D Bruce, DO
• Teresa Bruns
• Emilee J Brunswick
• Kara Sue Bruskotter, CNP
• Bryan F. Harju, DMD Inc.

• Counselor in Troy, OH
• Providers in Troy, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.