David R Brunick, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-313 Issued in WY

Practice address

1904 Warren Ave
Cheyenne, WY 82001-3730

Phone

(307) 216-4227

Fax

(307) 317-0973

NPI assigned

Nov 25, 2014

Last updated

May 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in WY

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

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.

• Be Herd LLC

  dba Ellie Mental Health Warren Cheyenne

  • Marriage & Family Therapist
  • Cheyenne, WY
  • NPI 1134981863
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1932506607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 WARREN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013730",
            "telephone_number": "307-216-4227",
            "fax_number": "307-317-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 WARREN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013730",
            "telephone_number": "307-216-4227",
            "fax_number": "307-317-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNICK",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-25",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WY",
            "license": "LMFT-313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Brown
• Ria Brownlow
• Louis Brownstein, CCP
• Donnie Walter Bruce Jr., RRT
• Jennifer Bruce, RN
• Michelle T Brutsman, B.A.
• Autumn Bruyere
• Ian Eugene Bryant, OTR/L
• John F Bryant, M.D.
• Judiann Suchomel Bryant, LPC, CH,CACII, LAT

• Marriage & Family Therapist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Marriage & Family Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.