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

Samuel Lewis Brode, LPC

Individual provider Mental Health Counselor · NPI 1780351122

Samuel Lewis Brode, LPC is a Mental Health Counselor in Paw Paw, Michigan. Qualified in 2016, 10 years ago. Practices with Van Buren Community Mental Health Authority, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

801 Hazen St Ste C
Paw Paw, MI 49079-2008
Phone: (269) 657-5574
Fax: (269) 657-6523
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6401019495 (MI)

Record details

NPI number1780351122
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021
Mailing addressPo Box 249, Paw Paw, MI 49079-0249

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Van Buren Community Mental Health Authority — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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