Cooper Brubacher, LLMSW
NPI 1669976189ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Petoskey, MI
Counselor, Addiction (Substance Use Disorder) (LLMSW) with Old Town Psychological Services, practicing in Petoskey, Michigan. Medicare paid $11,948 for services to 15 patients in 2024.
Overview
| NPI | 1669976189 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LLMSW |
| Sole proprietor | No |
| NPI issued | Mar 20, 2018 |
| Last updated in NPPES | Mar 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | 6801100374 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 146 across 3 procedure codes |
| Paid by Medicare | $11,948 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Old Town Psychological ServicesTraverse City, MI · 8 clinicians
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All 19 addiction counselors in Petoskey · All addiction counselors in Michigan