John Joseph Brucklier, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RC00052748 Issued in WA

Practice address

42 Klondike
Republic, WA 99166-1266

Phone

(509) 775-3341

Fax

(509) 775-2937

NPI assigned

May 10, 2010

Last updated

May 10, 2010By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ferry County Counseling Services

  • Community/Behavioral Health Agency
  • Republic, WA
  • NPI 1376686188
  NPD (past)
• Ferry County Counseling Services

  • Community/Behavioral Health Agency
  • Republic, WA
  • NPI 1669562047
  NPD (past)

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1780902122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1120",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991661120",
            "telephone_number": "509-775-3341",
            "fax_number": "509-775-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 KLONDIKE",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991661266",
            "telephone_number": "509-775-3341",
            "fax_number": "509-775-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKLIER",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00052748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhad H Alrashedy, M.D.
• Charlotte Ann Barnett
• Jeannette Arlene Bauer, APRN, FNP
• Jack Michael Bloom, DPT
• Albert David Brauer, M.D.
• Annette L. Byrd, FNP-PP
• Ronald L Casebeer, M.ED
• Kristi Lee Cassady
• John J Cruz
• Dan Leland Daily, BA

• Mental Health Counselor in Republic, WA
• Providers in Republic, 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 May 10, 2010; 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.