Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cooper Brubacher, LLMSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669976189

Cooper Brubacher, LLMSW is a Clinical Social Worker in Petoskey, Michigan. Qualified in 2016, 10 years ago. Practices with Old Town Psychological Services, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2018

Practice location Address checks out

704 Emmet St
Petoskey, MI 49770-2910
Phone: (231) 347-9880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 6801100374 (MI)

Record details

NPI number1669976189
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESMarch 20, 2018
Mailing address704 Emmet St, Petoskey, MI 49770-2910

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Old Town Psychological Services — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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