ANDIE JO BRUNK LMFT
NPI 1871284711
Marriage & Family Therapist in Camarillo, CA

Active since May 19, 2023PECOS Enrolled
1722 S LEWIS RD, CAMARILLO, CA 93012(805) 366-4205 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2025, May 12, 2024, Dec 5, 2023 and 1 more (4 updates tracked since 2023).

About Andie Jo Brunk Lmft NPPES

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

ANDIE JO BRUNK LMFT (NPI 1871284711) is an individual marriage & family therapist in Camarillo, California, licensed in California (152566) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871284711
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANDIE JO BRUNKCredential: LMFT
Location Address1722 S LEWIS RDCamarillo, CA 93012-8520
Mailing Address5479 Camino CompadreCamarillo, CA 93012-8624 · (805) 340-5470
Sole ProprietorNo
Enumeration DateMay 19, 2023
Last NPPES UpdateFebruary 11, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
NPI 1871284711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 152566
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 13476 (CA)
1722 S LEWIS RD, Camarillo, CA 93012

Secondary Practice Locations 2

Location 1223 E Thousand Oaks Blvd Ste 103Thousand Oaks, CA 91360-7706 · Phone (818) 473-5656
Location 29713 Santa Monica Blvd Ste 201Beverly Hills, CA 90210-4236 · Phone (818) 473-5656

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andie Jo Brunk Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Psychologist
1722 S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Community Health Worker
1722 S LEWIS RD
CAMARILLO, CA 93012
Licensed Vocational Nurse
1722 S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Marriage & Family Therapist
1722 S LEWIS RD
CAMARILLO, CA 93012

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 Andie Brunk's NPI number?

The NPI number for Andie Brunk is 1871284711. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Andie Brunk located?

Andie Brunk practices at 1722 S Lewis Rd, Camarillo, CA 93012. The listed phone number is (805) 366-4205.

What is Andie Brunk's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Andie Brunk enrolled in Medicare?

Yes. Andie Brunk is registered in the Medicare PECOS enrollment system.

What insurance does Andie Brunk accept?

Health plans from Providence Health Plan list Andie Brunk 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 Andie Brunk was last updated on February 11, 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.