Individual provider Active NPI

Brianna Colbert

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1821472945
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014896 Issued in MI
Practice address
204 E Washington St
Ann Arbor, MI 48104-2070
Phone
(734) 478-7358
NPI assigned
Jul 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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 6401014896 MI Primary

Addresses

Primary practice location

204 E Washington St
Ann Arbor, MI 48104-2070

Mailing address

204 E Washington St
Ann Arbor, MI 48104-2070
Phone (734) 478-7358

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401014896MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Colbert Clinical Resources PLLC Professional Current Accepting new patients
Lotus Consulting PLLC Ilona Phillips LMSW PLLC PastSince Mar 13, 2022 Accepting new patients

Locations

40315 Michigan Ave
Canton, MI 48188
Phone (313) 363-1696

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.

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1821472945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E WASHINGTON ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042070",
            "telephone_number": "734-478-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E WASHINGTON ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042070",
            "telephone_number": "734-478-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-18",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.