Individual provider Active NPI

Brier Stucky, LMHC

  • Mental Health Counselor
  • Bluffton, IN
National Provider Identifier
1619780152
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
390052974A Issued in IN
Practice address
105 W Cherry St
Bluffton, IN 46714-2008
Phone
(260) 307-5030
Fax
(260) 307-5461
NPI assigned
Jan 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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 390052974A IN Primary

Addresses

Primary practice location

105 W Cherry St
Bluffton, IN 46714-2008

Mailing address

105 W Cherry St
Bluffton, IN 46714-2008
Phone (260) 307-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250222000248 IN Practitioner - Mental Health Counselor 5597285411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renovate Counseling Services LLCGroup PAC ID 6103246376, 13 clinicians

Practice addresses (Care Compare)

105 W Cherry St
Bluffton, IN 46714-2008
Phone (260) 307-5030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
390052974AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renovate Counseling Services LLC Mental Health CurrentSince Jan 23, 2025 Accepting new patients

Locations

105 W Cherry St
Bluffton, IN 46714
Phone (260) 307-5030

662 Country Side Dr
Ste 105
Columbia City, IN 46725
Phone (260) 244-5133

915 S 11th St
Decatur, IN 46733
Phone (260) 301-3155

7722 Moeller Rd
Fort Wayne, IN 46806
Phone (260) 307-5030

1131 Etna Ave
Huntington, IN 46750
Phone (260) 307-5030

37 E Washington St
Shelbyville, IN 46176
Phone (260) 307-5030

Organizations & group practices 1

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": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1619780152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W CHERRY ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142008",
            "telephone_number": "260-307-5030",
            "fax_number": "260-307-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W CHERRY ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142008",
            "telephone_number": "260-307-5030",
            "fax_number": "260-307-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKY",
        "first_name": "BRIER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "390052974A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, IN

Sources for this page

Verify at the official NPI Registry.