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

MS. Nicole Katherine Brandstrup, PC-PROV, ATR-BC

Individual provider Professional Counselor · NPI 1174893267

MS. Nicole Katherine Brandstrup, PC-PROV, ATR-BC is a Mental Health Counselor in Toledo, Ohio. Qualified in 2011, 15 years ago. Practices with Mercy Health Physicians North Specialty Care LLC, a 348-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2012
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Practice location Address checks out

3130 Executive Pkwy Fl 8
Toledo, OH 43606-5530
Phone: (419) 720-9000
Fax: (419) 720-9002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C.1000106.PROV. (OH)

Record details

NPI number1174893267
Entity typeIndividual (Type 1)
GenderFemale
Credentials PC-PROV , ATR-BC
Sole proprietorYes
NPI enumeratedJanuary 5, 2012
Last updated in NPPESJanuary 5, 2012

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Mercy Health Physicians North Specialty Care Llc — 348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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