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

Last updated

May 20, 2025By the provider in NPPES

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

Other names 1

• Mary Kathryne Boddie Former name

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Kranz Psychological Services PLLCGroup PAC ID 6901189117, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kranz Psychological Services, PLLC

  • Clinical Psychologist
  • Longview, TX
  • NPI 1679018287

  Professional

  Medicare reassignment Care Compare group NPD
• Counseling Services, PLLC

  • Mental Health Counselor
  • Henderson, TX
  • NPI 1467863407

  Professional

  NPD

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

{
    "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"
        }
    ]
}

• Tracy Michelle Brown, LCSW
• Trisha Lee Brown, ATC, DPT
• Lewis A Browne, M.D.
• Mark D Bruce, CRNA
• Princess Mariah Brumit
• 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.

• Professional Counselor in Longview, TX
• Providers in Longview, TX by specialty
• 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.