Individual provider Active NPI

Steve Alan Brunk, MA LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1164926598
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2015040702 Issued in MO
Practice address
4171 Crescent Dr Ste 201
Saint Louis, MO 63129-3645
Phone
(314) 724-0188
NPI assigned
Mar 21, 2018
Last updated
Mar 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2015040702 MO Primary

Addresses

Primary practice location

4171 Crescent Dr Ste 201
Saint Louis, MO 63129-3645

Mailing address

4171 Crescent Dr Ste 201
Saint Louis, MO 63129-3645
Phone (314) 724-0188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20240816000753 MO Practitioner - Mental Health Counselor 8820536220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Open Arms Wellness LLCGroup PAC ID 5799170486, 12 clinicians

Practice addresses (Care Compare)

13975 Manchester Rd
Suite 3
Ballwin, MO 63011-4500
Phone (314) 329-4326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Open Arms Wellness LLC CurrentSince Aug 8, 2024 Accepting new patients
Open Arms Mental Health Therapy LLC CurrentSince Aug 8, 2024 Accepting new patients

Locations

13975 Manchester Rd
Ste 3
Ballwin, MO 63011
Phone (314) 329-4326

8949 Manchester Rd
Saint Louis, MO 63144
Phone (314) 329-4326

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1164926598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 CRESCENT DR STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293645",
            "telephone_number": "314-724-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 CRESCENT DR STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293645",
            "telephone_number": "314-724-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNK",
        "first_name": "STEVE",
        "middle_name": "ALAN",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015040702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.