Active NPI
Kathleen Kelly Brun, LPC-A
- Mental Health Counselor
- Sumter, SC
National Provider Identifier
1568367134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11123
- Practice address
- 26 Wesmark CT
Sumter, SC 29150-1996 - Phone
- (803) 883-4981
- NPI assigned
- Oct 13, 2026
- Last updated
- Oct 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11123 | SC | Primary |
Addresses
Primary practice location
26 Wesmark CT
Sumter, SC 29150-1996
Mailing address
16300 Blackberry Hills Dr
Midland, NC 28107-9045
Phone (704) 989-6168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1568367134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16300 BLACKBERRY HILLS DR",
"city": "MIDLAND",
"state": "NC",
"postal_code": "281079045",
"telephone_number": "704-989-6168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 WESMARK CT",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501996",
"telephone_number": "803-883-4981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUN",
"first_name": "KATHLEEN",
"middle_name": "KELLY",
"credential": "LPC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-13",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "11123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.