Sara N Brungardt, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

10245 E Via Linda Ste 225
Scottsdale, AZ 85258-5345

Phone

(480) 687-3435

Fax

(480) 687-7061

NPI assigned

Feb 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Calmocd

  • Mental Health Counselor
  • Scottsdale, AZ
  • NPI 1114742954
  NPD Authorized official

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1407120041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 E VIA LINDA STE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585345",
            "telephone_number": "480-687-3435",
            "fax_number": "480-687-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 E VIA LINDA STE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585345",
            "telephone_number": "480-687-3435",
            "fax_number": "480-687-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNGARDT",
        "first_name": "SARA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domonique Brumfield
• Jennifer Brummet, MC
• Kendall Brundrett, BCBA, LBA
• Carrie Leanne Bruner, R.D.H.
• Kathryn Kay Brungard, DC
• Katerina Bruning, RBT
• Brooke Kathryn Brunner, LMSW
• Jade Bruno, LMFT
• Znaide Bruno, D.C.
• Danielle Elizabeth Bruns, LMFT

• Professional Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.