CLAYTON BROCKELMAN
NPI 1700753555
Peer Specialist in Jackson, MI

Q: What is Clayton Brockelman's NPI number?

The NPI number for Clayton Brockelman is 1700753555. It was assigned to this individual provider in the NPPES registry on October 17, 2025.

Q: What is Clayton Brockelman's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Active since October 17, 2025

330 W FRANKLIN ST, JACKSON, MI 49201(517) 788-9147 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Clayton Brockelman NPPES

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

CLAYTON BROCKELMAN (NPI 1700753555) is an individual peer specialist in Jackson, Michigan and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1700753555

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameCLAYTON BROCKELMAN

Location Address330 W FRANKLIN STJackson, MI 49201-2148

Mailing Address475 Hickory CtJackson, MI 49203-1138 · (517) 788-9147

Phone(517) 788-9147

Sole ProprietorYes

Enumeration DateOctober 17, 2025

NPPES CertifiedOctober 15, 2025

✔ NPI 1700753555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

330 W FRANKLIN ST, Jackson, MI 49201

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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.

ANN ELISE MONROE CPSS

Peer Specialist