MARY BRUNHAVER LCPC
NPI 1730582396
Counselor - Mental Health in Shiloh, IL

Q: What is Mary Brunhaver's NPI number?

The NPI number for Mary Brunhaver is 1730582396. It was assigned to this individual provider in the NPPES registry on September 26, 2014.

Q: What is Mary Brunhaver's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Mary Brunhaver was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since September 26, 2014

1161 FORTUNE BLVD, SHILOH, IL 62269(618) 795-9880 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Brunhaver Lcpc NPPES

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

MARY BRUNHAVER LCPC (NPI 1730582396) is an individual mental health provider in Shiloh, Illinois, licensed in Illinois (180.009770) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1730582396

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARY BRUNHAVERCredential: LCPC

Location Address1161 FORTUNE BLVDShiloh, IL 62269-7385

Mailing Address508 Talbert PlO Fallon, IL 62269-4250 · (618) 795-9880

Phone(618) 795-9880

Sole ProprietorNo

Enumeration DateSeptember 26, 2014

Last NPPES UpdateAugust 3, 2015

✔ NPI 1730582396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 180.009770

1161 FORTUNE BLVD, Shiloh, IL 62269

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 3

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

AMANDA BENSON M.A., LCPC

Counselor (Professional)

1161 FORTUNE BLVD, SUITE 400
SHILOH, IL 62269

St. Clair County (618) 830-8146

AMANDA LEWIS, MSW, LCSW, LLC

Community/Behavioral Health

1161 FORTUNE BLVD, SUITE 400
SHILOH, IL 62269

St. Clair County (618) 334-5571

JULIE LYNN WEBER LCPC

Counselor (Professional)

1161 FORTUNE BLVD, SUITE 400
SHILOH, IL 62269

St. Clair County (618) 401-2496

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 Brunhaver's NPI number?

The NPI number for Mary Brunhaver is 1730582396. It was assigned to this individual provider in the NPPES registry on September 26, 2014.

Where is Mary Brunhaver located?

Mary Brunhaver practices at 1161 Fortune Blvd, Shiloh, IL 62269. The listed phone number is (618) 795-9880.

What is Mary Brunhaver's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Mary Brunhaver accept?

Health plans from Providence Health Plan list Mary Brunhaver 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 Brunhaver was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.