Individual provider Active NPI

Jessica Ann Rosenbrook, LPC

  • Counselor
  • Potterville, MI
National Provider Identifier
1811430754
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401017567 Issued in MI
Practice address
205 Hartel Rd
Potterville, MI 48876-9797
Phone
(517) 240-3094
NPI assigned
Nov 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401017567 MI Primary

Addresses

Primary practice location

205 Hartel Rd
Potterville, MI 48876-9797

Mailing address

205 Hartel Rd
Potterville, MI 48876-9797
Phone (517) 240-3094

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

103 W US Hwy 2
Wakefield, MI 49968-9515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401017567MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gogebic County Community Mental Health Authority CurrentSince Aug 1, 2025 Accepting new patients
Jessica Rosenbrook Counseling Services LLC CurrentSince Dec 8, 2024 Accepting new patients
Richard Kneip, PH.D., P.C. Past Accepting new patients

Locations

103 W US Highway 2
Wakefield, MI 49968
Phone (906) 229-6100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1811430754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HARTEL RD",
            "city": "POTTERVILLE",
            "state": "MI",
            "postal_code": "488769797",
            "telephone_number": "517-240-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HARTEL RD",
            "city": "POTTERVILLE",
            "state": "MI",
            "postal_code": "488769797",
            "telephone_number": "517-240-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBROOK",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-27",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potterville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.