Active NPI
Bruno Counseling and Consulting Services, LLC
- Clinical Social Worker
- Poplarville, MS
National Provider Identifier
1922492321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C8179
- Legal business name
- BRUNO COUNSELING AND CONSULTING SERVICES, LLC
- Practice address
- 110 W Erlanger St
Poplarville, MS 39470-3009 - Phone
- (601) 746-5125
- Fax
- (844) 348-9002
- NPI assigned
- Mar 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darryl Wayne Bruno, LCSW
- Title
- Owner
- Phone
- (601) 746-5125
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C8179 | MS | Primary |
Addresses
Primary practice location
110 W Erlanger St
Poplarville, MS 39470-3009
Mailing address
110 W Erlanger St
Poplarville, MS 39470-3009
Phone (601) 746-5125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05239528 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
110 W Erlanger St
Poplarville, MS 39470
Phone (601) 746-5125
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Poplarville, MS
- NPI 1235706961
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1922875624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427155200000",
"number": "1922492321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W ERLANGER ST",
"city": "POPLARVILLE",
"state": "MS",
"postal_code": "394703009",
"telephone_number": "601-746-5125",
"fax_number": "844-348-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W ERLANGER ST",
"city": "POPLARVILLE",
"state": "MS",
"postal_code": "394703009",
"telephone_number": "601-746-5125",
"fax_number": "844-348-9002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUNO COUNSELING AND CONSULTING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-24",
"last_updated": "2015-03-24",
"status": "A",
"authorized_official_last_name": "BRUNO",
"authorized_official_first_name": "DARRYL",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-746-5125",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C8179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05239528",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poplarville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.