NPIMap

Organization Active NPI

Thornwood Wellness LLC

Doing business as Ellie Mental Health

  • Mental Health Counselor
  • Longmont, CO
National Provider Identifier
1386449627
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THORNWOOD WELLNESS LLC
Doing business as
Ellie Mental Health
Practice address
275 S Main St Ste 201
Longmont, CO 80501-6461
Phone
(720) 707-1806
Fax
(720) 295-1911
NPI assigned
Feb 18, 2025
Organization subpart
Yes
Parent organization
THORNWOOD WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Dr. David R Brunick, LMFT
Title
Owner
Phone
(303) 908-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

275 S Main St Ste 201
Longmont, CO 80501-6461

Mailing address

275 S Main St Ste 201
Longmont, CO 80501-6461
Phone (720) 707-1806

Other names 1

  • Ellie Mental Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thornwoodwellnessllc7 organizations share this tax ID, including this one
Part of
Thornwoodwellnessllc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1386449627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST STE 201",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016461",
            "telephone_number": "720-707-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST STE 201",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016461",
            "telephone_number": "720-707-1806",
            "fax_number": "720-295-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNWOOD WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THORNWOOD WELLNESS LLC",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "BRUNICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-908-5560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.