NPIMap

Organization Active NPI

Bert Bruno

Doing business as Castle Country Counseling

  • Clinical Social Worker
  • Price, UT
National Provider Identifier
1073909644
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
266606-3501 Issued in UT
Legal business name
BERT BRUNO
Doing business as
Castle Country Counseling
Practice address
375 S Carbon Ave
Suite B-11
Price, UT 84501-2909
Phone
(435) 637-5032
NPI assigned
Apr 10, 2015
Last updated
Apr 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Mr. Bert Bruno, LCSWNPI 1225335227
Title
Owner
Phone
(435) 650-6562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 266606-3501 UT Primary

Addresses

Primary practice location

375 S Carbon Ave
Suite B-11
Price, UT 84501-2909

Mailing address

375 S Carbon Ave
Suite B-11
Price, UT 84501-2909

Other identifiers 1

IdentifierTypeStateIssuer
266606-3501OtherUTDOPL

Other names 1

  • Castle Country Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

375 S Carbon Ave
Ste B11
Price, UT 84501
Phone (435) 637-5032

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1073909644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 S CARBON AVE",
            "address_2": "SUITE B-11",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S CARBON AVE",
            "address_2": "SUITE B-11",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012909",
            "telephone_number": "435-637-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERT BRUNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "BERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-650-6562",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "266606-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOPL",
            "identifier": "266606-3501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle Country Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Price, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.