Organization Active NPI

Soul Fire Wellness LLC

Doing business as Lauren J. Brunner, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1982413837
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOUL FIRE WELLNESS LLC
Doing business as
Lauren J. Brunner, LCSW
Practice address
2555 Washington Rd Ste 610a
Pittsburgh, PA 15241-2574
Phone
(412) 212-3654
NPI assigned
Jan 6, 2025
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lauren Janelle Brunner, LCSWNPI 1730515768
Title
Owner
Phone
(412) 212-3654

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2555 Washington Rd Ste 610a
Pittsburgh, PA 15241-2574

Mailing address

2555 Washington Rd Ste 610a
Pittsburgh, PA 15241-2574
Phone (412) 212-3654

Other practice location 1

168 Laurel Place Ln
Pittsburgh, PA 15241-3445
Phone (412) 212-3654

Other names 1

  • Lauren J. Brunner, LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

2555 Washington Rd
Ste 610A
Pittsburgh, PA 15241
Phone (412) 212-3654

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1982413837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 WASHINGTON RD STE 610A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152412574",
            "telephone_number": "412-212-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 WASHINGTON RD STE 610A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152412574",
            "telephone_number": "412-212-3654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 Laurel Place Ln",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152413445",
            "country_code": "US",
            "telephone_number": "412-212-3654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUL FIRE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "JANELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-212-3654",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lauren J. Brunner, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.