Michelle Brunke, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-6461172 Issued in ID

Practice address

213 N Main St
Moscow, ID 83843-2700

Phone

(208) 683-8320

Fax

(208) 969-8380

NPI assigned

Sep 24, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Body & Mind Health Services, LLC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1326501305
  NPD
• A Body & Mind Health Services, LLC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1891396099
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1043037633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090932",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432700",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "496 Shoup Ave W Ste F",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015043",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 S Cole Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837090932",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Main Street Unit G",
            "address_purpose": "LOCATION",
            "city": "Kamiah",
            "state": "ID",
            "postal_code": "83536",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Trolley Way",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "ID",
            "postal_code": "836446046",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNKE",
        "first_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LMSW-6461172",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-6461172",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW-6461172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Brosseau
• Ellenmarie Zwank Brown, M.D
• John Barclay Brown III, MD
• Samantha Brownell
• Pamela Jean Bruce, R.PH.
• Laura Buchanan, PHARMD
• Christopher J Bullard, MD
• McKenna Kieley Burcham
• Kimi L Burkle
• Amanda Burks

• Social Worker in Moscow, ID
• Providers in Moscow, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.