Chris De Bruin, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3394 Issued in CO

Practice address

Grand Junction Metro Treatment Center
1001 Wellington Ave
Grand Junction, CO 81501

Phone

(970) 208-1130

Fax

(970) 208-1132

NPI assigned

Apr 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1639676158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GRAND JUNCTION METRO TREATMENT CENTER",
            "address_2": "1001 WELLINGTON AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-208-1130",
            "fax_number": "970-208-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRAND JUNCTION METRO TREATMENT CENTER",
            "address_2": "1001 WELLINGTON AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-208-1130",
            "fax_number": "970-208-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BRUIN",
        "first_name": "CHRIS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "617",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "3394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Day Surgery of Grand Junction LLC (Day Surgery of Grand Junction)
• Kayla Amber Day
• Sarah Lynne Day, LPCC
• DDS Vantage Inc
• Madison De Arman
• Cheryl Claire De Gaia, RPH
• Mary J De Young
• Derek Langford Dean, DDS
• Glen Royden Dean, DDS MS
• Joel M Dean, DO

• Addiction (Substance Use Disorder) Counselor in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.