Active NPI
Brooke Bundick, LPC
- Professional Counselor
- Buena Vista, CO
National Provider Identifier
1265224778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0022246
- Practice address
- 30612 Mountainside Dr
Buena Vista, CO 81211-9600 - Phone
- (720) 284-4889
- NPI assigned
- May 20, 2025
- Last updated
- May 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0022246 | CO | Primary |
Addresses
Primary practice location
30612 Mountainside Dr
Buena Vista, CO 81211-9600
Mailing address
30612 Mountainside Dr
Buena Vista, CO 81211-9600
Phone (720) 284-4889
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0022246 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1265224778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30612 MOUNTAINSIDE DR",
"city": "BUENA VISTA",
"state": "CO",
"postal_code": "812119600",
"telephone_number": "720-284-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30612 MOUNTAINSIDE DR",
"city": "BUENA VISTA",
"state": "CO",
"postal_code": "812119600",
"telephone_number": "720-284-4889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNDICK",
"first_name": "BROOKE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0022246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Vista, CO
- Brooke N Bowen, HAD
- Elizabeth Ann Brereton, RDH
- Joshua Brown, MA LPC, NCC
- Buena Vista Physical Therapy, LLC (Buena Vista Physical Therapy)
- Buena Vista School District R-31
- Jo Caissie
- Alexandra Carmichael, MA, LPCC
- Catholic Health Iniatives Colorado (CRSG Cardio B Vista)
- Catholic Health Initiatives Colorado (CommonSpirit Orthopedics Buena Vista)
- Central Colorado Prosthetics and Orthotics, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.