Karley Mills Brunelle, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH25292 Issued in FL

Practice address

1600 Sarno Rd Ste 12
Melbourne, FL 32935-4993

Phone

(321) 622-4066

Fax

(321) 306-2879

NPI assigned

Nov 16, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Transformation Haven Counseling LLC

  • Mental Health Counselor
  • Melbourne, FL
  • NPI 1821846023
  NPD
• The Sonder Academy

  • Behavior Analyst
  • Melbourne, FL
  • NPI 1023549680

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1043724776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 HEARTWOOD LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SARNO RD STE 12",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354993",
            "telephone_number": "321-622-4066",
            "fax_number": "321-306-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNELLE",
        "first_name": "KARLEY",
        "middle_name": "MILLS",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shatarra Lashay Brownlee
• Guy Steven Bruce, ED.D; BCBA-D
• Robert Monroe Bruckart, PH.D., M.A., M.DIV.
• Patrick Kent Brueggeman, D.P.M.
• Oleg Bruk, P.A.
• Juliana N Bruner
• Victoria Brunner
• Lily Rosza Brush, RBT
• Bry-Whit Enterprises LLC
• Angela Bryan

• Mental Health Counselor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.