Active NPI
Donna Marie Brunetti, LPCC, LMHC, LPC
- Counselor
- Lake Forest, CA
National Provider Identifier
1003068131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPCC 1669
- Practice address
- 3235 Lupine
Lake Forest, CA 92630-8442 - Phone
- (845) 406-7245
- Fax
- (206) 333-0954
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RA010680315 | CA | |
| Mental Health Counselor | 101YM0800X | 006110 | NY | |
| Professional Counselor | 101YP2500X | LPCC 1669 | CA | |
| Counselor | 101Y00000X | LPCC 1669 | CA | Primary |
Addresses
Primary practice location
3235 Lupine
Lake Forest, CA 92630-8442
Mailing address
3235 Lupine
Lake Forest, CA 92630-8442
Phone (949) 445-0456
Other practice location 1
66 Leslie Rd
Newburgh, NY 12550-1257
Phone (845) 406-7245
Other practice location 2
1120 Ardmore Dr Apt 203
Mount Pleasant, SC 29466-6310
Phone (843) 936-0456
Other names 1
- Donna Marie McKnight
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC 1669 | CA | MD | Counselor |
| RA010680315 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1003068131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3235 LUPINE",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926308442",
"telephone_number": "949-445-0456",
"fax_number": "206-333-0954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 LUPINE",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926308442",
"telephone_number": "845-406-7245",
"fax_number": "206-333-0954"
}
],
"practiceLocations": [
{
"address_1": "66 Leslie Rd",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "NY",
"postal_code": "125501257",
"country_code": "US",
"telephone_number": "845-406-7245",
"fax_number": "206-333-0954",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 Ardmore Dr Apt 203",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "294666310",
"country_code": "US",
"telephone_number": "843-936-0456",
"fax_number": "206-333-0954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNETTI",
"first_name": "DONNA",
"middle_name": "MARIE",
"credential": "LPCC, LMHC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RA010680315",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006110",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC 1669",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "LPCC 1669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "MCKNIGHT",
"middle_name": "MARIE",
"credential": "LPCC, LMHC, LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.