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MRS. MARY KATHRYNE BRUN LPC
NPI 1639464787
Counselor - Professional in Longview, TX

Active since June 16, 2011PECOS Enrolled
3118 H G MOSLEY PKWY, LONGVIEW, TX 75605(903) 002-1433(903) 295-5858 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Mary Kathryne Brun Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY KATHRYNE BRUN LPC (NPI 1639464787) is an individual professional provider in Longview, Texas, licensed in Texas (18138) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1639464787
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MARY KATHRYNE BRUNCredential: LPC
Location Address3118 H G MOSLEY PKWYLongview, TX 75605-2941
Mailing Address247 Teal LnGilmer, TX 75645-6894 · (903) 240-4344 · Fax (903) 295-5858
Phone(903) 002-1433
Fax(903) 295-5858
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJune 16, 2011
Last NPPES UpdateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1639464787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 18138
3118 H G MOSLEY PKWY, Longview, TX 75605
Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Kathryne Boddie Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Kathryne Brun Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658815063
PECOS Enrollment IDI20240626003097
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Brun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kranz Psychological Services, PLLC
Same address
Clinical
3118 H G MOSLEY PKWY
Longview, TX 75605
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
NPI 1679018287 (903) 200-1433

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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAMNIE BURTON AYRES LP
Psychologist
3118 H G MOSLEY PKWY
LONGVIEW, TX 75605
Gregg County (903) 200-1433
VALERIE ELIZABETH FERRELL LPA
Psychologist
3118 H G MOSLEY PKWY
LONGVIEW, TX 75605
Gregg County (903) 200-1433
TIFFANY BARRETO
Counselor (Professional)
3118 H G MOSLEY PKWY
LONGVIEW, TX 75605
Gregg County (903) 200-1433
BLAIR WARREN LPC-A
Counselor (Professional)
3118 H G MOSLEY PKWY
LONGVIEW, TX 75605
Gregg County (903) 200-1433
SARA SMITH
Counselor (Professional)
3118 H G MOSLEY PKWY
LONGVIEW, TX 75605
Gregg County (903) 200-1433
ALYSSA BURLESON LPCA
Counselor (Professional)
3118 H G MOSLEY PKWY
LONGVIEW, TX 75605
Gregg County (903) 200-1433
TONY EUGENE GOSS LPC-A
Counselor (Professional)
3118 H G MOSLEY PKWY
LONGVIEW, TX 75605
Gregg County (903) 200-1433
CURTIS ROSCOE
Psychologist (Counseling)
3118 H G MOSLEY PKWY
LONGVIEW, TX 75605
Gregg County (903) 200-1433

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 Mary Brun's NPI number?

The NPI number for Mary Brun is 1639464787. It was assigned to this individual provider in the NPPES registry on June 16, 2011. The provider is also known as Mary Kathryne Boddie Lpc.

Where is Mary Brun located?

Mary Brun practices at 3118 H G Mosley Pkwy, Longview, TX 75605. The listed phone number is (903) 002-1433.

What is Mary Brun's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Brun enrolled in Medicare?

Yes. Mary Brun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Brun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Brun reassigns Medicare benefits to Kranz Psychological Services, PLLC (Longview, TX). 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 Mary Brun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Brun accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Mary Brun 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 Mary Brun was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.