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MR. TIMOTHY MORRIS BRUBAKER
NPI 1760052724
Counselor - Professional in Kent, OH

Active since June 30, 2021PECOS EnrolledAccepts Medicare Assignment
275 MARTINEL DR, KENT, OH 44240(330) 673-6339 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 6, 2023, Jun 30, 2021 (2 updates tracked since 2021).

About Mr. Timothy Morris Brubaker NPPES

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

MR. TIMOTHY MORRIS BRUBAKER (NPI 1760052724) is an individual professional provider in Kent, Ohio, licensed in Ohio (C.2204756) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760052724
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. TIMOTHY MORRIS BRUBAKER
Location Address275 MARTINEL DRKent, OH 44240-4380
Mailing Address53 W Randy StNew Franklin, OH 44203-4822 · (330) 603-6229
Phone(330) 673-6339
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 30, 2021
Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
✔ NPI 1760052724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C.2204756
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
275 MARTINEL DR, Kent, OH 44240
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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

Mr. Timothy Morris Brubaker 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 ID6507399904
PECOS Enrollment IDI20241023003882
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.

TRACY LYNN CROUSE
Social Worker (Clinical)
275 MARTINEL DR
KENT, OH 44240
Portage County (330) 673-6446
JORDYN WHEATON
Case Manager/Care Coordinator
275 MARTINEL DR
KENT, OH 44240
Portage County (330) 673-6339
MRS. ROSA J LAWSON LPC
Counselor (Mental Health)
275 MARTINEL DR
KENT, OH 44240
Portage County (330) 307-2295
MR. JOSEPH ALLEN RADER LSW
Social Worker
275 MARTINEL DR
KENT, OH 44240
Portage County (330) 673-6339
SHAYNA MITCHEN LSW
Social Worker
275 MARTINEL DR
KENT, OH 44240
Portage County (330) 673-6339
KRISTA WECKERLY M.S.W., LISW
Social Worker (Clinical)
275 MARTINEL DR
KENT, OH 44240
Portage County (330) 673-6446
SIENNA JACKSON LSW
Social Worker
275 MARTINEL DR
KENT, OH 44240
Portage County (330) 673-6339
ANGELIA MARIE TAYLOR
Case Manager/Care Coordinator
275 MARTINEL DR
KENT, OH 44240
Portage County (520) 302-2708

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 Timothy Brubaker's NPI number?

The NPI number for Timothy Brubaker is 1760052724. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Timothy Brubaker located?

Timothy Brubaker practices at 275 Martinel Dr, Kent, OH 44240. The listed phone number is (330) 673-6339.

What is Timothy Brubaker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Timothy Brubaker enrolled in Medicare?

Yes. Timothy Brubaker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Timothy Brubaker was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.