Jennifer Gail Brunell, LPC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3949 Old Post Rd Ste 101
Charlestown, RI 02813

Phone

(401) 256-4996

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2019.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1093911752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1684",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028130909",
            "telephone_number": "401-648-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 OLD POST RD STE 101",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "02813",
            "telephone_number": "401-256-4996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3949 Old Post Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "RI",
            "postal_code": "02813",
            "country_code": "US",
            "telephone_number": "401-256-4996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNELL",
        "first_name": "JENNIFER",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00521",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922123314",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Charlestown, RI
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; 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.