Rebecca Marie Brunelle

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P137047 Issued in NY

Practice address

112 Nagle Ave Apt 4D
New York, NY 10040-1460

Phone

(419) 296-5456

NPI assigned

Sep 10, 2025

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1447131925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NAGLE AVE APT 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NAGLE AVE APT 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401460",
            "telephone_number": "419-296-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNELLE",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P137047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Brumwell
• Carla Nicole Brun, LMSW
• Keith Robert Brunckhorst, M.D.
• Desmond Brundidge
• Kaitlyn D. Bruneau, LCSW
• Diane Reformina Brunelli, NP
• Andrea Brunetti
• Michael J. Brunetti, D.P.M.
• Magalie Bruneus, MD
• Talitha Lisa-Marie Bruney, MD

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.