Individual provider Active NPI

Brenda J Bundrick, LPCC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1083530398
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPP0024358 Issued in CO
Practice address
5505 Flag Way
Colorado Springs, CO 80919-4416
Phone
(281) 814-5058
NPI assigned
Jun 29, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LCPP0024358 CO Primary

Addresses

Primary practice location

5505 Flag Way
Colorado Springs, CO 80919-4416

Mailing address

5505 Flag Way
Colorado Springs, CO 80919-4416
Phone (281) 814-5058

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1083530398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 FLAG WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194416",
            "telephone_number": "281-814-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 FLAG WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194416",
            "telephone_number": "281-814-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDRICK",
        "first_name": "BRENDA",
        "middle_name": "J",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LCPP0024358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.