Christopher M Bruton, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

008174 Issued in GA

Practice address

200 Leake St Ste 106
Cartersville, GA 30120-3562

Phone

(678) 986-0453

NPI assigned

Dec 19, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Etowahcs, LLC

  • Professional Counselor
  • Cartersville, GA
  • NPI 1669064390
  NPD Authorized official

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1386042547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LEAKE ST STE 106",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203562",
            "telephone_number": "678-986-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LEAKE ST STE 106",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203562",
            "telephone_number": "678-986-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTON",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-19",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "008174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003212881A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milton Brown Jr., LCSW
• Jacque Brownlow
• Alan W Brue, PHD
• James Edward Brummett III, HIS
• John Brunette, MD
• Laura Elizabeth Bruton, NP-C
• Robin Lee Buchkowski, D.C.
• David N Bullard, M.S.
• Diane Buncelpn, LPN
• Amanda Burke

• Professional Counselor in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.