Michelle Lynn Brink

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

163 Plaza Rd
Indiana, PA 15701-3264

Phone

(724) 465-2311

Fax

(724) 465-2339

NPI assigned

Jan 31, 2018

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

Practice roles

Interoperability endpoints

• Direct secure messaging: michelle.brink.1@24284.direct.athenahealth.com

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.

• Cen Clear Child Services

  • Community Health Clinic/Center
  • Philipsburg, PA
  • NPI 1164952677
  NPD (past)
• Lake Psychological Services

  • Clinical Psychologist
  • Indiana, PA
  • NPI 1598136665
  NPD (past)
• Inpathy Behavioral Healthcare Group LLC

  • Psychiatry Physician
  • Marlton, NJ
  • NPI 1285099325
  NPD (past)

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1962900217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 PLAZA RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013264",
            "telephone_number": "724-465-2311",
            "fax_number": "724-465-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 PLAZA RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013264",
            "telephone_number": "724-465-2311",
            "fax_number": "724-465-2339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Elk Run Ave",
            "address_purpose": "LOCATION",
            "city": "Punxsutawney",
            "state": "PA",
            "postal_code": "157671617",
            "country_code": "US",
            "telephone_number": "814-938-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4526 Federal Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "98203",
            "country_code": "US",
            "telephone_number": "425-349-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINK",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler J Bradley
• Cindy Bratton, MT, NMT
• Kevin Breen, DPT
• Stephanie Jo Bressler, CRNP
• Rebecca Susan Brindle, B.A.
• Shayla Bawn Brink
• Vanessa Britton, PC
• Michelle Marie Brocious
• Kyle Matthew Brooks
• Glenn Robert Brown, D.C.

• Mental Health Counselor in Indiana, PA
• Providers in Indiana, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.