MR. RICKEY D BRUNER JR. (NPI# 1073869913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073869913 |
| Entity Type | Individual |
| Full Name | MR. RICKEY D BRUNER JR. |
| Practice Address |
11428 E 20th St Tulsa OK 74128-6451 |
| Mailing Address |
2712 N Denver Ave Tulsa OK 74106-2222 |
| Practice Telephone | 9188787877 |
| Mailing Telephone | 9188532448 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2014-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
11428 E 20TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74128-6451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780080614 | Christian Carl Green | Counselor | 11428 E 20th St, Tulsa, OK 74128-6451 | 2014-11-04 |
| 1578981163 | Michele Carey | Counselor | 11428 E 20th St, Unit A, Tulsa, OK 74128-6451 | 2014-04-01 |
| 1558787630 | Amelia Henderson | Counselor | 11428 E 20th St, A, Tulsa, OK 74128-6451 | 2014-03-12 |
| 1184040685 | Mindy Thomas | Counselor | 11428 E 20th St, A, Tulsa, OK 74128-6451 | 2014-03-09 |
| 1861816266 | Silvia Parra | Behavioral Analyst | 11428 E 20th St, Tulsa, OK 74128-6451 | 2014-02-06 |
| 1295156933 | Tony Knauls | Behavioral Analyst | 11428 E 20th St, Unit A, Tulsa, OK 74128-6451 | 2013-12-24 |
| 1669802302 | Desmond Nugent | Counselor | 11428 E 20th St, Tulsa, OK 74128-6451 | 2013-11-15 |
| 1336575547 | Shiron Denise Harris | Counselor | 11428 E 20th St, Unit A, Tulsa, OK 74128-6451 | 2013-09-19 |
| 1093149023 | Robert Marion Skuy | Social Worker | 11428 E 20th St, Unit A, Tulsa, OK 74128-6451 | 2013-08-27 |
| 1699108290 | Christine Morgan | Counselor | 11428 E 20th St, Tulsa, OK 74128-6451 | 2013-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720352 | Nicole Piggee | Technician | 10548 East 5th Street, Tulsa, OK 74128 | 2019-09-24 |
| 1598252884 | Beth Alison Peck | Social Worker | 10159 East 11th Street, Tulsa, OK 74128 | 2018-04-23 |
| 1821434523 | Ta'vionna Danielle Polley-davis (whayne) | Counselor | 1148 E. 20th St, Unit A, Tulsa, OK 74128 | 2013-05-21 |
| 1881753572 | Mashovin Home Health Care, Inc. | Home Health | 12131 East Skelly Drive, Tulsa, OK 74128 | 2006-12-08 |
| 1023064300 | Brookhaven Hospital Inc. | Rehabilitation Unit | 201 S Garnett Rd, Tulsa, OK 74128 | 2006-05-26 |
| 1841689189 | David L Hinman | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128 | 2015-01-09 |
| 1992019582 | Ryan John Wilson | Counselor | 2725 E. Skelly Dr., Suite 202, Tulsa, OK 74128 | 2010-08-06 |
| 1376786590 | Dana Furtado | Social Worker | Department of Veterans Affairs, 10159 E. 11th Street, Suite #100, Tulsa, OK 74128 | 2009-04-17 |
| 1033391370 | Genevieve Dulan | Family Medicine | 10912 E 14th St, Tulsa, OK 74128 | 2007-11-28 |
| 1215098017 | Paul Chesley Cochran | Psychiatry & Neurology | 141 S Garnett Rd, Tulsa, OK 74128 | 2006-12-13 |
| Find all providers in zip 74128 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761004 | Ashley Jane Runnells | Counselor | 4867 S Sheridan Rd Ste 712a, Tulsa, OK 74145-5721 | 2020-08-17 |
| 1598316168 | Ryan David Sharpe | Counselor | 8218 S 77th East Ave Apt 1082, Tulsa, OK 74133-3966 | 2019-09-25 |
| 1588137780 | Hailee Dean Monroe | Counselor | 4103 S Yale Ave, Tulsa, OK 74135-6002 | 2019-01-10 |
| 1104308212 | Tawnya Denise Henderson | Counselor | 223 E Woodrow Pl, Tulsa, OK 74106-3729 | 2018-09-05 |
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1386146660 | Breanna White | Counselor | 7541 S Mingo Rd Apt 7154, Tulsa, OK 74133-3384 | 2018-03-02 |
| 1699285015 | Christina M Smalley | Counselor | 600 Civic Ctr, Tulsa, OK 74103-3829 | 2017-10-11 |
| 1700395902 | Rachel Lynn Richardson | Counselor | 5800 E Skelly Dr Ste 1100, Tulsa, OK 74135-6448 | 2017-09-20 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| Find all providers in TULSA | ||||
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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.