Antone Yohann Brummund, MS, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC-11438 Issued in AZ

Practice address

3505 Western Ave Ste a
Kingman, AZ 86409-3074

Phone

(928) 757-8111

NPI assigned

Jan 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1669619359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 SYCAMORE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090927",
            "telephone_number": "928-757-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 WESTERN AVE STE A",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093074",
            "telephone_number": "928-757-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMUND",
        "first_name": "ANTONE",
        "middle_name": "YOHANN",
        "credential": "MS, LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McCall Brown, PHARM.D.
• Naomi Brown, PMH NP
• Richard Lowell Brown, SLP-A
• Robert Brown, RPH
• Susan Browning
• Tiki Brummund, MA, LISAC, BHP
• Alec Bryson
• Deanna Marie Buchanan, PMHNP
• Brandon Buckman
• Reyna Bucknell, P.T., D.P.T.

• Addiction (Substance Use Disorder) Counselor in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.