EMILY BRUNDAGE


Address: 3300 Lansing Ave, Jackson, MI 49202-1621
Phone: 5177842929

EMILY BRUNDAGE (NPI# 1881102994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881102994
Entity Type Individual
Full Name EMILY BRUNDAGE
Credential LLMSW
Practice Address 3300 Lansing Ave
Jackson
MI 49202-1621
Practice Telephone 5177842929
Practice Fax Number 5177843030
Mailing Telephone 5177842929
Mailing Fax Number 5177843030
Enumeration Date 2018-01-11
Last Update Date 2020-03-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
ASW84204 CA Behavioral Health & Social Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
6801101334 MI Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
ASW84204 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
125 Rigg St, Santa Cruz, CA 950604203 8312263728
380 Encinal St Ste 200, Santa Cruz, CA 950602178 8314691700 8314251905
4902 S Cedar St, Lansing, MI 489105474 5173947867

Office Location

Street Address 3300 LANSING AVE
City JACKSON
State MI
Zip Code 49202-1621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629101829 Victory Clinical Services IIi LLC Clinic/Center 3300 Lansing Ave, Jackson, MI 49202-1621 2007-03-14
1780290023 Ashley D Oredsen Licensed Practical Nurse 3300 Lansing Ave, Jackson, MI 49202-1621 2020-09-22
1932715976 Amber Sims Case Manager/Care Coordinator 3300 Lansing Ave, Jackson, MI 49202-1621 2020-09-16
1104470640 Carrie Ann Miller Social Worker 3300 Lansing Ave, Jackson, MI 49202 2019-08-01
1568921153 Madison Apperson Case Manager/Care Coordinator 3300 Lansing Ave, Jackson, MI 49202-1621 2019-03-14
1164997672 Jan Walker Licensed Practical Nurse 3300 Lansing Ave, Jackson, MI 49202-1621 2018-10-11
1467934521 Lisa Lynn Jarrell Licensed Practical Nurse 3300 Lansing Ave, Jackson, MI 49202-1621 2018-09-05
1750862561 Julie Ann Hesterman Social Worker 3300 Lansing Ave, Jackson, MI 49202-1621 2018-08-29
1154817922 Jeanie Roberts Counselor 3300 Lansing Ave, Jackson, MI 49202-1621 2018-07-05
1386148914 Matthew Reader Counselor 3300 Lansing Ave, Jackson, MI 49202-1621 2018-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821590316 Leslie Dominique Barroso Social Worker 834 Kennedy St, Jackson, MI 49202 2018-03-01
1073011136 Nicole Szarek Social Worker 1200 N. West Ave, Jackson, MI 49202 2018-01-24
1598299430 Cedric Griffin Behavior Technician 950 W. Monroe St, Jackson, MI 49202 2017-04-18
1285081612 Patricia Decker Psychologist 950 West Monroe, Suite 500, Jackson, MI 49202 2016-05-16
1619344314 Erica Ries Social Worker 1200 N West Ave Ste 800, Jackson, MI 49202 2015-08-28
1184007189 Sarah Johnson Behavioral Analyst 818 Winifred St, Jackson, MI 49202 2015-07-08
1871971697 Scott A Watterson Dds, Pllc Dentist 1030 Laurence Ave, Suite 3, Jackson, MI 49202 2015-05-13
1043608680 Brenda Beverly Counselor 1190 West, 1190 West Suite 812, Jackson, MI 49202 2015-01-06
1295091593 Natalie Ann Kember Social Worker 1206 Clinton, Jackson, MI 49202 2012-04-11
1912218728 Tina Marie Pierce Respite Care 225 N Wisner St, Jakson, MI 49202 2010-06-25
Find all providers in zip 49202

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457952665 John Cate Owen Counselor 2525 Lakeward Dr Ste 400, Jackson, MS 39216-4827 2020-11-04
1760098727 Anna Marie Jones Counselor 32 Portsmouth St, Jackson, OH 45640-1622 2020-09-16
1891313656 Kayla Lynn Fazzari Counselor N168w20964 Main St, Jackson, WI 53037-9634 2020-07-08
1184184202 Tracy Dawn Schuh Counselor 300 Morton St, Jackson, OH 45640-1028 2019-03-24
1013483858 Bradley A Tompson Counselor 794 Mcdonough Rd Ste 100, Jackson, GA 30233-1572 2018-10-19
1295237048 Impact Behavioral Counseling LLC Counselor 37 Sandstone Cir Ste 92b, Jackson, TN 38305-2089 2018-03-07
1942708920 Candace R Downey Counselor 120 Twin Oaks Dr Unit D, Jackson, OH 45640-9506 2018-01-25
1508379462 Vicki Lee Harper Counselor 295 Broadway St Ste 101, Jackson, OH 45640-1701 2017-11-14
1356867295 Stephanie Michelle Gilbert Counselor 345 E Main St Ste A, Jackson, OH 45640-1780 2017-08-22
1477081206 Trending Upwards Counselor 1754 Highway 15 N, Jackson, KY 41339 2017-05-24
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 49202

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Dataset Information

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.

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