Active NPI
Stephanie Brundieck
- Mental Health Counselor
- Norfolk, NE
National Provider Identifier
1073679221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8012
- Practice address
- 401 S 17TH St
Norfolk, NE 68701-4724 - Phone
- (402) 371-7215
- Fax
- (402) 371-2521
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8012 | NE | Primary |
| Clinical Social Worker | 1041C0700X | 6506 | NE |
Addresses
Primary practice location
401 S 17TH St
Norfolk, NE 68701-4724
Mailing address
401 S 17TH St
Norfolk, NE 68701-4724
Phone (402) 371-7215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97059 | Other | NE | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6506 | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1073679221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S 17TH ST",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687014724",
"telephone_number": "402-371-7215",
"fax_number": "402-371-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S 17TH ST",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687014724",
"telephone_number": "402-371-7215",
"fax_number": "402-371-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNDIECK",
"first_name": "STEPHANIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "8012",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "6506",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "97059",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.