MIKE D BRUMMITT LICDC-LISW
NPI 1225572878
Counselor - Addiction (Substance Use Disorder) in Lorain, OH

Q: What is Mike Brummitt's NPI number?

The NPI number for Mike Brummitt is 1225572878. It was assigned to this individual provider in the NPPES registry on December 15, 2016.

Q: What is Mike Brummitt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mike Brummitt was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 15, 2016PECOS Enrolled

6140 S BROADWAY, LORAIN, OH 44053(440) 233-7232 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jan 7, 2021, Oct 20, 2020, Jan 28, 2020 and 4 more (7 updates tracked since 2016).

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About Mike D Brummitt Licdc-lisw NPPES

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

MIKE D BRUMMITT LICDC-LISW (NPI 1225572878) is an individual addiction (substance use disorder) provider in Lorain, Ohio, licensed in Ohio (LICDC.161314) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1225572878

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMIKE D BRUMMITTCredential: LICDC-LISW

Location Address6140 S BROADWAYLorain, OH 44053-3821

Mailing Address4343 Clifton AveLorain, OH 44055-3077 · (216) 881-7882

Phone(440) 233-7232

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateDecember 15, 2016

Last NPPES UpdateJanuary 7, 20217 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2021

✔ NPI 1225572878 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

License✔ Licensed in OH · LICDC.161314

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License I.2002402 (OH)

6140 S BROADWAY, Lorain, OH 44053

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Secondary Practice Location 1

Location 11829 E 55th StCleveland, OH 44103-3601 · Phone (216) 881-7882 ext. 4531

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mike D Brummitt Licdc-lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618445339

PECOS Enrollment IDI20260511002309

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. JAMILLET TORRES

Case Manager/Care Coordinator