Sandra Bruno

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

L450 Issued in AL

Practice address

102 Wesly Clark Blvd
Madison, AL 35756-4028

Phone

(256) 658-6642

NPI assigned

Mar 5, 2020

Last updated

Mar 5, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Marriage and Family Therapist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Still Waters Counseling and Education CenterGroup PAC ID 3476087362, 7 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.

• Still Waters Counseling and Education Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mountain BRK, AL
  • NPI 1134954654
  Medicare reassignment Care Compare group NPD
• Still Waters Counseling Center, LLC

  • Professional Counselor
  • Mountain BRK, AL
  • NPI 1003563917
  Medicare reassignment NPD

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1811522253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WESLY CLARK BLVD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357564028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WESLY CLARK BLVD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357564028",
            "telephone_number": "256-658-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "AADC169",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "L450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammie Sherrie Brown
• Denise Browne
• Russell Leslie Browning, M.D.
• Mary Alice Broyles, PTA
• David Bruce, DMD LLC
• Elizabeth Maguire Bryant, M.D.
• Marian A Bryant, DMD
• Mary Bryant
• Nicole Katlyn Buccieri
• Herbert Nolan Buckner, D.C.

• Marriage & Family Therapist in Madison, AL
• Providers in Madison, AL by specialty
• Marriage & Family Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.