Alyssa Re Tulman Bruner, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16497 Issued in WI

Practice address

1752 Dorset LN
New Richmond, WI 54017-2452

Phone

(715) 246-6991

Fax

(715) 246-8413

NPI assigned

Oct 25, 2023

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

Enrolled in WI

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

Clinical Social Worker

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Croix CountyGroup PAC ID 3779676044, 9 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 and National Provider Directory roles.

• St Croix County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Richmond, WI
  • NPI 1932265105
  Medicare reassignment Care Compare group NPD
• St Croix County

  • Public Health or Welfare Agency
  • New Richmond, WI
  • NPI 1659553618
  NPD

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1851163554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 DORSET LN",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172452",
            "telephone_number": "715-246-6991",
            "fax_number": "715-246-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 DORSET LN",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172452",
            "telephone_number": "715-246-6991",
            "fax_number": "715-246-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULMAN BRUNER",
        "first_name": "ALYSSA",
        "middle_name": "RE",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12483-123",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Thiemann
• Alpana Tiwari, M.D.
• Jennifer Joyce Tretsven, CRNA
• Nicole Trosen, PHARMD
• Paradyse Sidney Trost, SAC-IT
• Everett Tysdahl
• Kelley Ryan Uglem, PHARM. D.
• Laura Kay Utgard
• Michael D Vad, CRNA
• Brett S Vandenbergh, DPT

• Addiction (Substance Use Disorder) Counselor in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.