Cory Bruss

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CG60803834 Issued in WA

Practice address

224 N 7TH Ave
Pasco, WA 99301-5411

Phone

(509) 545-4462

Fax

(509) 545-8076

NPI assigned

Oct 16, 2017

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

State licenses

Practice roles

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.

• Lourdes

  • Special Hospital
  • Pasco, WA
  • NPI 1053775841
  NPD (past)
• Our Lady of Lourdes at Pasco

  • Developmentally Disabled Services Day Training Agency
  • Pasco, WA
  • NPI 1992859078
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1669983862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N 7TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N 7TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015411",
            "telephone_number": "509-545-4462",
            "fax_number": "509-545-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSS",
        "first_name": "CORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60803834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Brown, LMT
• Stacie Lynn Brown, LMFT
• Stuart Brown, PA-C
• Dallin Brownell, DO
• Dena Janine Bruce
• Chris Brussow, MD
• Sheldon Buck
• Azure Marie Buckenberger, RDH
• Steven Dirk Bunker, DMD
• Stephanie Bunn

• Mental Health Counselor in Pasco, WA
• Providers in Pasco, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.