Active NPI
Shane Brune, LPC
- Professional Counselor
- Bryan, TX
National Provider Identifier
1932235934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19890
- Practice address
- 1209 Ebbtide CV
Bryan, TX 77845-8814 - Phone
- (979) 220-8625
- NPI assigned
- Feb 26, 2007
- Last updated
- May 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 19890 | TX | |
| Professional Counselor | 101YP2500X | 19890 | TX | Primary |
Addresses
Primary practice location
1209 Ebbtide CV
Bryan, TX 77845-8814
Mailing address
1209 Ebbtide CV
College Station, TX 77845-8814
Phone (979) 220-8625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19890 | Other | TX | LPC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19890 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746230400000",
"number": "1932235934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 EBBTIDE CV",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458814",
"telephone_number": "979-220-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 EBBTIDE CV",
"city": "BRYAN",
"state": "TX",
"postal_code": "778458814",
"telephone_number": "979-220-8625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNE",
"first_name": "SHANE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2025-05-03",
"certification_date": "2025-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "19890",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC LICENSE",
"identifier": "19890",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.