COOPER BRUBACHER LLMSW
NPI 1669976189
Counselor - Addiction (Substance Use Disorder) in Petoskey, MI

Q: What is Cooper Brubacher's NPI number?

The NPI number for Cooper Brubacher is 1669976189. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Cooper Brubacher'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 Cooper Brubacher was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 20, 2018PECOS EnrolledAccepts Medicare Assignment

704 EMMET ST, PETOSKEY, MI 49770(231) 347-9880 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Cooper Brubacher Llmsw NPPES

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

COOPER BRUBACHER LLMSW (NPI 1669976189) is an individual addiction (substance use disorder) provider in Petoskey, Michigan, licensed in Michigan (6801100374) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669976189

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameCOOPER BRUBACHERCredential: LLMSW

Location Address704 EMMET STPetoskey, MI 49770-2910

Mailing Address704 Emmet StPetoskey, MI 49770-2910

Phone(231) 347-9880

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 20, 2018

✔ NPI 1669976189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MI · 6801100374

704 EMMET ST, Petoskey, MI 49770

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cooper Brubacher Llmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648654046

PECOS Enrollment IDI20220902002261

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

132 services13 patients

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.

MATTHEW MCKELVEY CADC-D

Counselor