BROOKE L DOHERTY (NPI# 1730711763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730711763 |
| Entity Type | Individual |
| Full Name | BROOKE L DOHERTY |
| Credential | LLMSW |
| Practice Address |
519 S Park St Kalamazoo MI 49007-5117 |
| Mailing Address |
3395 Austrian Pine Way Apt 24c Portage MI 49024-2904 |
| Practice Telephone | 2693830450 |
| Practice Fax Number | 2693832066 |
| Mailing Telephone | 2693520918 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
519 S PARK ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497005508 | Daniel Allen Davis | Counselor | 519 S Park St, Kalamazoo, MI 49007-5117 | 2012-09-17 |
| 1124635263 | Robert Joseph Chatel | Counselor | 519 S Park St, Kalamazoo, MI 49007-5117 | 2020-09-23 |
| 1558977298 | Evan M Wouters | Counselor | 519 S Park St, Kalamazoo, MI 49007-5117 | 2020-09-18 |
| 1932714706 | Kristen Malifa | Counselor | 519 S Park St, Kalamazoo, MI 49007-5117 | 2020-09-09 |
| 1144831066 | Kami Lynn Coonfare | Social Worker | 519 S Park St, Kalamazoo, MI 49007-5117 | 2020-08-13 |
| 1285242628 | April Nachtigal | Counselor | 519 S Park St, Kalamazoo, MI 49007-5117 | 2020-07-22 |
| 1114544913 | Bryce Wade | Counselor | 519 S Park St, Kalamazoo, MI 49007-5117 | 2020-06-29 |
| 1356965578 | Jennifer Anne Cook | Social Worker | 519 S Park St, Kalamazoo, MI 49007-5117 | 2020-06-03 |
| 1588296529 | Jan Marlynn Weir | Counselor | 519 S Park St, Kalamazoo, MI 49007-5117 | 2020-02-07 |
| 1295366847 | Cassandra Marie Bates | Counselor | 519 S Park St, Kalamazoo, MI 49007-5117 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| Find all providers in zip 49007 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316451560 | Anta Lutz Ling | Counselor | 1128 S Westnedge Ave, Kalamazoo, MI 49008-1350 | 2017-11-27 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1265987531 | Carolyn Gabriel | Counselor | 537 Chicago Ave, Kalamazoo, MI 49048-2021 | 2016-08-16 |
| 1386004489 | Brenda Kay Henry | Counselor | 1016 N Pitcher St, Kalamazoo, MI 49007-3548 | 2016-03-02 |
| 1508101635 | Gerald Lamont Brooks | Counselor | 4017 W. Main Suite 100, Kalamazoo, MI 49006 | 2012-11-29 |
| 1053677997 | Addie B Carter | Counselor | 5617 Blue Meadow Cir, Kalamazoo, MI 49048-8225 | 2012-04-04 |
| 1174899421 | Ashley Carter Youngblood | Counselor | 4155 S 9th St, Kalamazoo, MI 49009-8120 | 2012-03-30 |
| 1063646875 | Kevin Dale Baker | Counselor | 2226 Homecrest Ave, Kalamazoo, MI 49001 | 2009-05-07 |
| 1588877146 | Suzanne Christine Meinke | Counselor | 6963 W Kl Ave Ste A, Kalamazoo, MI 49009-8043 | 2007-05-08 |
| Find all providers in KALAMAZOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.