Brueckner Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFC43161 Issued in CA

Legal business name

BRUECKNER COUNSELING

Practice address

2930 Camino Diablo
Suite 310
Walnut Creek, CA 94597-3986

Phone

(415) 710-9495

NPI assigned

Jun 1, 2016

Organization subpart

No

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

Authorized official

Name

Shannon Brueckner, MFTNPI 1184067506

Title

Owner

Phone

(415) 710-9495

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Brueckner, MFT

  • Marriage & Family Therapist
  • Walnut Creek, CA
  • NPI 1184067506
  NPD (past) Authorized official

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1386092294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20554",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946200554",
            "telephone_number": "415-710-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 CAMINO DIABLO",
            "address_2": "SUITE 310",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973986",
            "telephone_number": "415-710-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUECKNER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "BRUECKNER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-710-9495",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC43161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Browne
• Alyssa Camille Browning, MD
• Bruce R. Wood & Son Inc.
• Margaret Anne Bruce
• Adam Bruderick, DO
• Shannon Brueckner, MFT
• John William Bruns, D.D.S.
• Chassis Brunton
• Alla Bryant
• Sharon Suzanne Bryden, FNP

• Community/Behavioral Health Agency in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.