Active NPI
Bruce James Punches, L.P.C.
- Professional Counselor
- Kalamazoo, MI
National Provider Identifier
1376895680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401003388
- Practice address
- 2019 Rambling Rd
Kalamazoo, MI 49008-1630 - Phone
- (269) 345-0909
- Fax
- (269) 345-4985
- NPI assigned
- Oct 10, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401003388 | MI | |
| Professional Counselor | 101YP2500X | 6401003388 | MI | Primary |
Addresses
Primary practice location
2019 Rambling Rd
Kalamazoo, MI 49008-1630
Mailing address
2019 Rambling Rd
Kalamazoo, MI 49008-1630
Phone (269) 345-0909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9980 Coldwater CRK NE
Rockford, MI 49341-7513
Phone (616) 450-9560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
Locations
400 Renaissance Ctr
Detroit, MI 48243
Phone (248) 599-1582
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1376895680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 RAMBLING RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081630",
"telephone_number": "269-345-0909",
"fax_number": "269-345-4985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 RAMBLING RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081630",
"telephone_number": "269-345-0909",
"fax_number": "269-345-4985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNCHES",
"first_name": "BRUCE",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-10",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401003388",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401003388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.