BRANDON ROBERT PETER MIELKE PHD, LPC, NCC, CAADC
NPI 1760004907
Counselor - Professional in Petoskey, MI
About Brandon Robert Peter Mielke Phd, Lpc, Ncc, Caadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON ROBERT PETER MIELKE PHD, LPC, NCC, CAADC (NPI 1760004907) is an individual professional provider in Petoskey, Michigan, licensed in Michigan (6401223756) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brandon Robert Peter Mielke Phd, Lpc, Ncc, Caadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brandon Mielke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boyne Falls, MI 49713
- Reassigned Medicare billing, Michigan enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brandon Mielke's NPI number?
The NPI number for Brandon Mielke is 1760004907. It was assigned to this individual provider in the NPPES registry on May 11, 2020.
Where is Brandon Mielke located?
Brandon Mielke practices at 1982 E Mitchell Rd, Petoskey, MI 49770. The listed phone number is (231) 622-5800.
What is Brandon Mielke's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Brandon Mielke enrolled in Medicare?
Yes. Brandon Mielke is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brandon Mielke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Mielke reassigns Medicare benefits to Walloon Lake Recovery Lodge, LLC (Boyne Falls, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Mielke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brandon Mielke accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Brandon Mielke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brandon Mielke was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Brandon Robert Peter Mielke, PHD, LPC, NCC, CAADC · NPI 1760004907
Professional provider in Petoskey, Michigan. Individual provider, active in the CMS NPPES registry since May 11, 2020.
## Identity
- **NPI:** 1760004907 (Entity type: Individual)
- **Enumerated:** May 11, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401223756 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1982 E MITCHELL RD, Petoskey, MI 49770-9603
- **Phone:** (231) 622-5800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Walloon Lake Recovery Lodge, LLC (NPI 1750791505, Boyne Falls, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760004907) · Data from the CMS NPPES public registry.