MRS. ROBERTA J BRUNER (NPI# 1023206083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023206083 |
| Entity Type | Individual |
| Full Name | MRS. ROBERTA J BRUNER |
| Credential | LCPC |
| Practice Address |
902 W Jourdan St Newton IL 62448-1062 |
| Mailing Address |
Po Box M 504 Micah Drive Olney IL 62450-0913 |
| Practice Telephone | 6187838615 |
| Practice Fax Number | 6187834174 |
| Mailing Telephone | 6183954306 |
| Mailing Fax Number | 6183954507 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982162145 | Roberta Bruner | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-03-06 |
| Street Address |
902 W JOURDAN ST |
| City | NEWTON |
| State | IL |
| Zip Code | 62448-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386831311 | Juanita Suro | Counselor | 902 W Jourdan St, Newton, IL 62448-1062 | 2007-10-03 |
| 1841469491 | S E Illinois Counseling Ctrs Inc. | Community/Behavioral Health | 902 W Jourdan St, Newton, IL 62448-1062 | 2008-02-28 |
| 1245418128 | South Eastern Illinois Counseling Center Inc | Counselor | 902 W Jourdan St, Newton, IL 62448-1062 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285114025 | Jennifer Eaton | Speech-Language Pathologist | 100 E. Maxwell St., Newton, IL 62448 | 2018-08-21 |
| 1962918169 | Erica Rose Schumacher | Speech-Language Pathologist | 100 E Maxwell St, Newton, IL 62448 | 2017-12-26 |
| 1063506772 | Jasper County Comm Unit Dist 1 | Local Education Agency (LEA) | 609 S Lafayette, Newton, IL 62448 | 2006-10-03 |
| 1467462788 | Jeanine Marie Fell | Dentist | 605 South Vanburen, Newton, IL 62448 | 2006-08-09 |
| 1639635972 | Tammy Andes | Registered Nurse | 601 W Washington St Ste 1, Newton, IL 62448 | 2019-02-12 |
| 1124535737 | Lori Smith | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-04 |
| 1083121867 | Mandy Rieman | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
| 1376050153 | Sandra Zumbahlen | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
| 1699282467 | Christy Gentry | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
| 1669989448 | Ashley Zumbahlen | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
| Find all providers in zip 62448 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801442827 | Soul Ll Soul Health & Wellness, LLC | Counselor | 8 Sycamore Trl, Newton, NJ 07860-6839 | 2019-08-15 |
| 1003399593 | Kelly Efchak | Counselor | 39 Newton Sparta Rd # C, Newton, NJ 07860-2773 | 2018-09-11 |
| 1801393582 | Theresa M Pedernera | Counselor | 280 Newton Sparta Rd Ste 2, Newton, NJ 07860-2775 | 2018-04-10 |
| 1710339866 | Mattia Cianfrone | Counselor | 43 Rustic St, Suite 125, Newton, MA 02458-1024 | 2016-07-12 |
| 1700291317 | Joyce Williams | Counselor | 1309 N Duncan St, Newton, KS 67114-5704 | 2014-06-23 |
| 1285047803 | Paul Daigle | Counselor | 710 E 12th St, Newton, KS 67114-2356 | 2014-06-11 |
| 1376956904 | Allison Smith | Counselor | 1301 N Duncan St, Newton, KS 67114-5704 | 2014-06-11 |
| 1962752493 | Joni Hunley | Counselor | 308 W 16th St N, Newton, IA 50208-2953 | 2012-09-12 |
| 1629234596 | Robert F Faghan | Counselor | 2 Puzzle Ln Unit 2-1, Newton, NH 03858-3721 | 2008-07-31 |
| 1306059894 | Cornerstone Behavioral Health Inc | Counselor | 129 E Broadway St, Suite 300, Newton, KS 67114-2212 | 2007-05-08 |
| Find all providers in NEWTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.