Individual provider Active NPI

Brooke M Kapustik, MA, CAADC

  • Addiction (Substance Use Disorder) Counselor
  • Monroeville, PA
National Provider Identifier
1952494452
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
4105 Monroeville Blvd
Monroeville, PA 15146-2607
Phone
(412) 380-0100
Fax
(412) 380-0200
NPI assigned
Oct 2, 2006
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

4105 Monroeville Blvd
Monroeville, PA 15146-2607

Mailing address

223 Michigan Ave
Lower Burrell, PA 15068-2933
Phone (724) 454-6228

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Therapeutics LLC Past Accepting new patients

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1952494452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MICHIGAN AVE",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150682933",
            "telephone_number": "724-454-6228",
            "fax_number": "412-380-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 MONROEVILLE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462607",
            "telephone_number": "412-380-0100",
            "fax_number": "412-380-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPUSTIK",
        "first_name": "BROOKE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MA, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.