Mary Kathryne Brun, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18138 Issued in TX

Practice address

3118 H G Mosley Pkwy
Longview, TX 75605-2941

Phone

(903) 002-1433

Fax

(903) 295-5858

NPI assigned

Jun 16, 2011

Sex

Female

Sole proprietor

Yes

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.

• Kranz Psychological Services, PLLC

  • Clinical Psychologist
  • Longview, TX
  • NPI 1679018287
  Medicare reassignment Care Compare group NPD Professional, TX
• Counseling Services, PLLC

  • Mental Health Counselor
  • Henderson, TX
  • NPI 1467863407
  NPD Professional

Specialty

Mental Health Counselor

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Kranz Psychological Services PLLC 6 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TX

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

• Mary Kathryne Boddie Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2025.

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1639464787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 TEAL LN",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756456894",
            "telephone_number": "903-240-4344",
            "fax_number": "903-295-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 H G MOSLEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052941",
            "telephone_number": "903-002-1433",
            "fax_number": "903-295-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUN",
        "first_name": "MARY",
        "middle_name": "KATHRYNE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BODDIE",
            "middle_name": "KATHRYNE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Brown
• Tracy Michelle Brown, LCSW
• Trisha Lee Brown, ATC, DPT
• Lewis A Browne, M.D.
• Mark D Bruce, CRNA
• Barry Clinton Bruyere, DDS
• Misti Dawn Bryant Bradshaw, NP
• Brandon G Bryant, ACNP
• Kayla Marie Bryant, AGACNP-BC
• Roger Carl Bryant, C.R.N.A.

• All providers in Longview, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.