Individual provider Active NPI

Wendy Camille Bruno, MS

  • Addiction (Substance Use Disorder) Counselor
  • Albany, NY
National Provider Identifier
1356671770
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
141348692 Issued in NY
Practice address
845 Central Ave
Albany, NY 12206-1514
Phone
(518) 482-2455
Fax
(518) 482-2458
NPI assigned
Jan 7, 2010
Last updated
Jan 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 141348692 NY Primary

Addresses

Primary practice location

845 Central Ave
Albany, NY 12206-1514

Mailing address

845 Central Ave
Albany, NY 12206-1514
Phone (518) 482-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240110004003 NY Practitioner - Mental Health Counselor 2961853288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Barney Rd
Suite 112
Clifton Park, NY 12065-5843
Phone (518) 280-1066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
141348692NYMDAddiction (Substance Use Disorder) Counselor
007229NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Mind Mental Health Counseling, PLLC CurrentSince Oct 19, 2023 Accepting new patients

Locations

1 Barney Rd
Ste 112
Clifton Park, NY 12065
Phone (518) 280-1066

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1356671770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061514",
            "telephone_number": "518-482-2455",
            "fax_number": "518-482-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061514",
            "telephone_number": "518-482-2455",
            "fax_number": "518-482-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "WENDY",
        "middle_name": "CAMILLE",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "141348692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.