ETHAN BRUDNO LPC
NPI 1346054228
Counselor - Professional in Medford, NJ
About Ethan Brudno Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN BRUDNO LPC (NPI 1346054228) is an individual professional provider in Medford, New Jersey, licensed in New Jersey (37PC01099500) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ethan Brudno Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ethan Brudno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Medford, NJ 08055
- Reassigned Medicare billing, New Jersey enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEDFORD, NJ 08055
MEDFORD, NJ 08055
MEDFORD, NJ 08055
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Brudno's NPI number?
The NPI number for Ethan Brudno is 1346054228. It was assigned to this individual provider in the NPPES registry on February 3, 2025.
Where is Ethan Brudno located?
Ethan Brudno practices at 103 Old Marlton Pike Ste 101, Medford, NJ 08055. The listed phone number is (609) 314-1807.
What is Ethan Brudno's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ethan Brudno enrolled in Medicare?
Yes. Ethan Brudno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ethan Brudno's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Brudno reassigns Medicare benefits to Peaceful Practices Counseling LLC (Medford, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Brudno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Brudno accept?
Health plans from Oscar Health list Ethan Brudno as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ethan Brudno was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ethan Brudno, LPC · NPI 1346054228
Professional provider in Medford, New Jersey. Individual provider, active in the CMS NPPES registry since February 3, 2025.
## Identity
- **NPI:** 1346054228 (Entity type: Individual)
- **Enumerated:** February 3, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC01099500 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 103 OLD MARLTON PIKE STE 101, Medford, NJ 08055-8772
- **Phone:** (609) 314-1807
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Peaceful Practices Counseling LLC (NPI 1457978017, Medford, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1346054228) · Data from the CMS NPPES public registry.