Wendy Ellen Brus, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000479 Issued in CT

Practice address

805 Farmington Ave
2ND Floor
West Hartford, CT 06119-1670

Phone

(860) 232-2801

Fax

(860) 232-2801

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Ms. Wendy Brus Fallon Other name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053432906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 FARMINGTON AVE",
            "address_2": "2ND FLOOR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191670",
            "telephone_number": "860-232-2801",
            "fax_number": "860-232-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FARMINGTON AVE",
            "address_2": "2ND FLOOR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191670",
            "telephone_number": "860-232-2801",
            "fax_number": "860-232-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUS",
        "first_name": "WENDY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "000479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "CT 000479",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER",
            "identifier": "136340",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL PROVIDER",
            "identifier": "45726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "FALLON",
            "middle_name": "BRUS",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karen Elizabeth Brown, MED. LPC
• Louis Brown, M.D
• Sashauna Brown, PMHNP-BC
• Steven J Broyde, LCSW, PH.D.
• Emma Katinia Brumenschenkel, AMFT
• Judy Brusby, APRN BC
• Grace Whitehead Brusie, PT
• Sebastiano Buccheri, MD
• Joseph Buffone, LCSW
• Jennifer L. Bunnell, LPC

• Mental Health Counselor in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.