Individual provider

Captain Soderstrom

Mental Health Counselor

Captain Soderstrom is a Mental Health Counselor in Brimley, MI, registered under NPI 1699176677. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is PO BOX 303, Brimley, MI 49715. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

PO BOX 303, Brimley, MI 49715 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
010908-01 NY Mental Health Counselor primary
6401222931 MI Mental Health Counselor

Licences are recorded in 2 states: NY, MI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Michigan and New York. The practice address on file is in Brimley, MI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MI Michigan practice address
Licence
6401222931
Specialty
Mental Health Counselor
Verify with the MI board →
NY New York
Licence
010908-01
Specialty
Mental Health Counselor
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers Counselor Mental Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YM0800X Mental Health Counselor Mental Health 010908-01 NY primary
101YM0800X Mental Health Counselor Mental Health 6401222931 MI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1699176677 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 10, 2014
Last updatedApr 5, 2024
StatusActive
Sole proprietorYes
Practice address PO BOX 303
Brimley, MI 49715
(906) 203-8354
Other identifiers 03505424 (NY)
This record was updated on Apr 5, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1699176677 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 9 9 1 7 6 6 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 9 9 2 7 3 6 5

Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1699176677?
NPI 1699176677 is the National Provider Identifier assigned to Captain Soderstrom in Brimley, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health cover?
Definition to come...
How do I contact Captain Soderstrom?
The phone number on file with NPPES is (906) 203-8354, last updated Apr 5, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1699176677 a valid number?
Yes. 1699176677 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.