Brian Rundle

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

108305 Issued in IA

Practice address

6200 Aurora Ave Ste 401E
Urbandale, IA 50322-2866

Phone

(515) 331-0303

Fax

(515) 331-9086

NPI assigned

Sep 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Turning Point Counseling DSM LLC

  • Adult Mental Health Clinic/Center
  • Des Moines, IA
  • NPI 1902789811
  NPD Authorized official
• Vermeer Quist Consulting, LLC

  • Community/Behavioral Health Agency
  • West Des Moines, IA
  • NPI 1538606975
  NPD

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1194496687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 34TH AVE SW APT 409",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500095459",
            "telephone_number": "641-777-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE STE 401E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222866",
            "telephone_number": "515-331-0303",
            "fax_number": "515-331-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDLE",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "108305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Oaks Nursing and Rehabilitation Center LLC
• Clint P Royston, M.S., M.S.N.
• Anne E Rozeboom, ARNP
• Kyle Ruehle, D.C.
• Tracy Nicole Rulli, PHARMD
• Erin Elizabeth Ryan, PA-C
• Sage Counseling and Wellness, LLC
• Gary Robert Sager, ED.D.
• Salt and Light Equity LLC
• Jessica Sanborn

• Marriage & Family Therapist in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.