Individual provider Active NPI

Dawn Marie Brunkenhoefer, LPC

  • Professional Counselor
  • New Braunfels, TX
National Provider Identifier
1245367168
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19564 Issued in TX
Practice address
180 W Mill St
New Braunfels, TX 78130-5050
Phone
(830) 620-6221
Fax
(830) 620-5302
NPI assigned
Feb 27, 2007
Last updated
Jun 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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 19564 TX Primary

Addresses

Primary practice location

180 W Mill St
New Braunfels, TX 78130-5050

Mailing address

819 Water St
300
Kerrville, TX 78028-5333
Phone (830) 258-5430

Other identifiers 2

IdentifierTypeStateIssuer
1797300MedicaidTX
19564OtherTXLPC CERTIFICATION

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
19564TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1245367168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WATER ST",
            "address_2": "300",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285333",
            "telephone_number": "830-258-5430",
            "fax_number": "830-792-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W MILL ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305050",
            "telephone_number": "830-620-6221",
            "fax_number": "830-620-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNKENHOEFER",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1797300",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC CERTIFICATION",
            "identifier": "19564",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.