| Cooper Brubacher, LLMSW | |
|
704 Emmet St, Petoskey, MI 49770-2910 | |
| (231) 347-9880 | |
| Not Available |
| Full Name | Cooper Brubacher |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 704 Emmet St, Petoskey, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669976189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6801100374 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Old Town Psychological Services | 2466600101 | 8 |
| Entity Name | Old Town Psychological Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093989162 PECOS PAC ID: 2466600101 Enrollment ID: O20120921000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Brubacher, LLMSW 704 Emmet St, Petoskey, MI 49770-2910 Ph: () - | Cooper Brubacher, LLMSW 704 Emmet St, Petoskey, MI 49770-2910 Ph: (231) 347-9880 |
Matthew Mckelvey, CADC-D Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Emmet St, Petoskey, MI 49770 Phone: 231-347-5511 | |
Roy Lee Angel Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Emmet St, Petoskey, MI 49770 Phone: 231-347-5511 Fax: 231-347-5422 | |
Mrs. Missy Sylar Merchant, LPC, CAADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1260 Ajijaak Ave, Petoskey, MI 49770 Phone: 231-242-1640 | |
Marissa Sweeney, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2236 E Mitchell Rd # 5, Petoskey, MI 49770 Phone: 231-622-3494 | |
Maureen Todd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 703 Emmet St, Petoskey, MI 49770 Phone: 231-347-5511 | |
Mrs. Adrienne Josephine Shiels, LLMSW Counselor Medicare: Medicare Enrolled Practice Location: 2202 Mitchell Park Dr Ste 2b, Petoskey, MI 49770 Phone: 231-487-2215 | |
Katherine Sapek, MA, LLC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3890 Charlevoix Ave, Suite 306, Petoskey, MI 49770 Phone: 231-412-0660 Fax: 231-881-9132 |