Individual provider Active NPI

Christine Jane Bruner, LMFT

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1285974089
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1313 Issued in OK
Practice address
1211 N Shartel Ave Ste 602
Oklahoma City, OK 73103-2445
Phone
(405) 819-6760
Fax
(405) 493-9646
NPI assigned
Feb 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1313 OK Primary

Addresses

Primary practice location

1211 N Shartel Ave Ste 602
Oklahoma City, OK 73103-2445

Mailing address

1211 N Shartel Ave Ste 602
Oklahoma City, OK 73103-2445
Phone (405) 819-6760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240312003245 OK Practitioner - Marriage and Family Therapist 1355787391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Oasis Counseling Center,Inc.Group PAC ID 7315110939, 4 clinicians

Practice addresses (Care Compare)

2801 Parklawn Dr
Suite 303
Midwest City, OK 73110-4230
Phone (405) 610-3644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1313OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling Center,Inc. CurrentSince Jan 1, 2024 Accepting new patients
Christine Bruner Current Accepting new patients

Locations

2801 Parklawn Dr
Ste 303
Oklahoma City, OK 73110
Phone (405) 401-6660

1211 N Shartel Ave
Ste 602
Oklahoma City, OK 73103
Phone (405) 430-1058

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1285974089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 602",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032445",
            "telephone_number": "405-819-6760",
            "fax_number": "405-939-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 602",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032445",
            "telephone_number": "405-819-6760",
            "fax_number": "405-493-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "CHRISTINE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.