Individual provider Active NPI

Denis Bruflodt, LMHC-TMP

  • Mental Health Counselor
  • Parkersburg, IA
National Provider Identifier
1477939148
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
077619 Issued in IA
Practice address
505 Coates St
Parkersburg, IA 50665-7733
Phone
(319) 346-1216
Fax
(319) 346-1217
NPI assigned
Aug 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 077619 IA Primary

Addresses

Primary practice location

505 Coates St
Parkersburg, IA 50665-7733

Mailing address

PO Box 582
Parkersburg, IA 50665-0582
Phone (319) 346-1216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 25, 2024 through Sep 25, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
077619IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Mental Health, Inc Past Accepting new patients
Brian Vold Arnp PLC PastSince Nov 1, 2016 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1477939148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 582",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "506650582",
            "telephone_number": "319-346-1216",
            "fax_number": "319-346-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COATES ST",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "506657733",
            "telephone_number": "319-346-1216",
            "fax_number": "319-346-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUFLODT",
        "first_name": "DENIS",
        "credential": "LMHC-TMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "077619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, IA

Sources for this page

Verify at the official NPI Registry.