William Jay Bruce, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-3689 Issued in ID

Practice address

102 S 1St Ave
Suite 202
Sandpoint, ID 83864-1398

Phone

(208) 550-8861

Fax

(208) 263-1796

NPI assigned

Oct 12, 2012

Last updated

Dec 2, 2016By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1942552054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S 1ST AVE",
            "address_2": "SUITE 202",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641398",
            "telephone_number": "208-550-8861",
            "fax_number": "208-263-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 1ST AVE",
            "address_2": "SUITE 202",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641398",
            "telephone_number": "208-550-8861",
            "fax_number": "208-263-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "WILLIAM",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-12",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-3689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942552054",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally V Brennan Ash, LMT
• Diana Elizabeth Brewer, DC
• Brianna Thoreson, MSW, LCSW, PLLC
• Robyn Kelli Bridges, RN
• Pamela M Brockus, CPSS
• Julie Ann Brusaw, MA LCPC LMFT
• Audrey L Buck, RD
• Scott Burgstahler, M.D.
• Laci Ann Burk, FNP-BC
• Chelsea Claire Burnett, LMT

• Professional Counselor in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.