Individual provider Active NPI

Michelle Lea Bruno, LPC, LCMHCS

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1174987671
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC006076 Issued in PA
Practice address
3950 Fairsted Drive
Apt 617
Raleigh, NC 27612-4591
Phone
(413) 202-4901
NPI assigned
Apr 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 517622 NC
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X PC006076 PA Primary

Addresses

Primary practice location

3950 Fairsted Drive
Apt 617
Raleigh, NC 27612-4591

Mailing address

3950 Fairsted Drive
Apt 617
Raleigh, NC 27612-4591
Phone (412) 302-4901

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

State licenses

LicenseStateTypeSpecialty
517622NCMDMental Health Counselor
PC006076PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1174987671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 FAIRSTED DRIVE",
            "address_2": "APT 617",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124591",
            "telephone_number": "412-302-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 FAIRSTED DRIVE",
            "address_2": "APT 617",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124591",
            "telephone_number": "413-202-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "MICHELLE",
        "middle_name": "LEA",
        "credential": "LPC, LCMHCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "517622",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.