Active NPI
Lucas Frank Bruno III, MA
- Marriage & Family Therapist
- Wailuku, HI
National Provider Identifier
1306082672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 01531
- Practice address
- 1995 Main St Ste 2J
Wailuku, HI 96793-1706 - Phone
- (808) 298-3948
- NPI assigned
- Dec 17, 2008
- Last updated
- Oct 29, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MFT-300 | HI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CSAC | HI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00500-LC | NV | |
| Marriage & Family Therapist | 106H00000X | 01531 | NV | Primary |
| Acupuncturist | 171100000X | ACU-372 | HI |
Addresses
Primary practice location
1995 Main St Ste 2J
Wailuku, HI 96793-1706
Mailing address
PO Box 40461
Reno, NV 89504-4461
Phone (808) 298-3948
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT-300 | HI | MD | Counselor |
| CSAC | HI | MD | Addiction (Substance Use Disorder) Counselor |
| 00500-LC | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 01531 | NV | MD | Marriage & Family Therapist |
| ACU-372 | HI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1306082672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40461",
"city": "RENO",
"state": "NV",
"postal_code": "895044461",
"telephone_number": "808-298-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 MAIN ST STE 2J",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931706",
"telephone_number": "808-298-3948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "LUCAS",
"middle_name": "FRANK",
"name_suffix": "III",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-17",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "HI",
"license": "MFT-300",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "HI",
"license": "CSAC",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "00500-LC",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "01531",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "ACU-372",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.