BROOKLYN SPIRITO LMHC, NCC
NPI 1639685498
Counselor - Mental Health in Elkhart, IN

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since December 15, 2017Opted out of Medicare · through Jan 11, 2028

401 W BRISTOL ST, ELKHART, IN 46514(574) 402-1400 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2023, Oct 17, 2022, May 14, 2021 and 2 more (5 updates tracked since 2017).

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About Brooklyn Spirito Lmhc, Ncc NPPES

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

BROOKLYN SPIRITO LMHC, NCC (NPI 1639685498) is an individual mental health provider in Elkhart, Indiana, licensed in Indiana (39003882A) and active in the NPI registry since December 2017. She has opted out of Medicare through January 11, 2028.

NPPES Registry Identity

NPI1639685498

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameBROOKLYN SPIRITOCredential: LMHC, NCC

Location Address401 W BRISTOL STElkhart, IN 46514-3019

Mailing Address401 W Bristol StElkhart, IN 46514-3019 · (574) 402-1400 · Fax (574) 401-1500

Phone(574) 402-1400

Sole ProprietorNo

Enumeration DateDecember 15, 2017

Last NPPES UpdateMarch 4, 20235 updates tracked since enumeration

NPPES CertifiedMarch 4, 2023

✔ NPI 1639685498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IN · 39003882A

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

401 W BRISTOL ST, Elkhart, IN 46514

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Other Names 1

Former Name (1)Brooklyn Hodges

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

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Opted out of Medicare

Brooklyn Spirito Lmhc, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2024 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2024

Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

JEFFREY FRANKLIN HASHBERGER

Counselor (Professional)