MICHAEL BRUBAKER COUNSELING (NPI# 1851895783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851895783 |
Entity Type | Organization |
Organization Name | MICHAEL BRUBAKER COUNSELING |
Other Organization Name | MICHAEL BRUBAKER COUNSELING, LLC |
Practice Address |
1927 N. Trekell Rd Ste D Casa Grande AZ 85122 |
Mailing Address |
1927 N. Trekell Rd, Ste. D Casa Grande AZ 85122 |
Practice Telephone | 5208369788 |
Practice Fax Number | 5204211975 |
Mailing Telephone | 5208369788 |
Mailing Fax Number | 5204211975 |
Enumeration Date | 2018-03-23 |
Last Update Date | 2018-03-23 |
Authorized Official Name | MR. MICHAEL CLARK BRUBAKER (OWNER) |
Authorized Official Telephone | 5208369788 |
Authorized Official Credential | LISAC/NCGC II |
Is Organization Subpart | Y |
Parent Organization Name | MICHAEL BRUBAKER COUNSELING, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | LISACAZ0122 | AZ | Agencies |
Other Name | Type Code |
---|---|
Michael Brubaker Counseling, LLC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760735864 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N Trekell Rd Ste D, Casa Grande, AZ 85122-1762 | 2012-10-26 |
Street Address |
1927 N. TREKELL RD STE D |
City | CASA GRANDE |
State | AZ |
Zip Code | 85122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
1003327594 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1821 N. Trekell Road, Suite 1, Casa Grande, AZ 85122 | 2017-10-24 |
Find all providers in zip 85122 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962915892 | Crisis Preparation and Recovery, Inc | Community/Behavioral Health | 1828 E Florence Blvd Ste 143, Casa Grande, AZ 85122-4783 | 2017-11-14 |
1003327594 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1821 N. Trekell Road, Suite 1, Casa Grande, AZ 85122 | 2017-10-24 |
1730620634 | Community Provider of Enrichment Services Inc | Community/Behavioral Health | 609 W Cottonwood Ln Ste 4, Casa Grande, AZ 85122-2248 | 2017-03-13 |
1659827707 | Intermountain Centers for Human Development Inc. | Community/Behavioral Health | 1821 N Trekell Rd Ste 1, Casa Grande, AZ 85122-1705 | 2016-08-29 |
1104285964 | Grossman & Grossman Ltd | Community/Behavioral Health | 125 N Florence St, Casa Grande, AZ 85122-4418 | 2016-02-22 |
1831557818 | Grossman & Grossman Ltd | Community/Behavioral Health | 123 N Florence St, Casa Grande, AZ 85122-4418 | 2016-02-04 |
1114315470 | Rna Property, LLC | Community/Behavioral Health | 117 E 2nd St # 2, Casa Grande, AZ 85122-5477 | 2015-01-08 |
1639567209 | Community Intervention Associates | Community/Behavioral Health | 1923 North Trekell Road, Casa Grande, AZ 85122 | 2015-01-05 |
1407257595 | Mikid Mentally Ill Kids In Distress | Community/Behavioral Health | 901 E Cottonwood Ln Ste Ab, Casa Grande, AZ 85122-2221 | 2014-09-09 |
1588074496 | Helping Associates, Inc. | Community/Behavioral Health | 1929 N Trekell Rd, Casa Grande, AZ 85122-1706 | 2014-04-30 |
Find all providers in CASA GRANDE |
City | CASA GRANDE |
Zip Code | 85122 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.