MR. MICHAEL DEAN BRAKEALL JR. LCDC II
NPI 1063922490
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since October 12, 2017
1 ELIZABETH PL, DAYTON, OH 45417(937) 813-1737 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael Dean Brakeall Jr. Lcdc Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL DEAN BRAKEALL JR. LCDC II (NPI 1063922490) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (162011) and active in the NPI registry since October 2017. He maintains a secondary practice location in Moraine.

NPPES Registry Identity

NPI1063922490
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MICHAEL DEAN BRAKEALL JR.Credential: LCDC II
Location Address1 ELIZABETH PLDayton, OH 45417-3445
Mailing Address1 Elizabeth PlDayton, OH 45417-3445
Sole ProprietorNo
Enumeration DateOctober 12, 2017
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 13, 2024
NPI 1063922490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in OH · 162011 Licensed in OH · 150053 Licensed in OH · CDCA.150053
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1 ELIZABETH PL, Dayton, OH 45417

Secondary Practice Location 1

Location 13095 Kettering BlvdMoraine, OH 45439-1983 · Phone (937) 293-8300

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
1 ELIZABETH PL
DAYTON, OH 45417
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL
DAYTON, OH 45417
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL
DAYTON, OH 45417
Case Manager/Care Coordinator
1 ELIZABETH PL
DAYTON, OH 45417
Licensed Practical Nurse
1 ELIZABETH PL
DAYTON, OH 45417
Licensed Practical Nurse
1 ELIZABETH PL
DAYTON, OH 45417
Counselor (Addiction (Substance Use Disorder))
1 ELIZABETH PL
DAYTON, OH 45417
Licensed Practical Nurse
1 ELIZABETH PL
DAYTON, OH 45417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Brakeall's NPI number?

The NPI number for Michael Brakeall is 1063922490. It was assigned to this individual provider in the NPPES registry on October 12, 2017.

Where is Michael Brakeall located?

Michael Brakeall practices at 1 Elizabeth Pl, Dayton, OH 45417. The listed phone number is (937) 813-1737.

What is Michael Brakeall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michael Brakeall was last updated on May 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.