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MR. ANDREW BRUCKER
NPI 1912591140
Counselor - Mental Health in Los Angeles, CA

Active since February 28, 2021Opted out of Medicare · through Aug 28, 2027
340 HAUSER BLVD APT 204, LOS ANGELES, CA 90036(213) 866-5173 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 9, 2021, Mar 1, 2021, Feb 28, 2021 (3 updates tracked since 2021).

About Mr. Andrew Brucker NPPES

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

MR. ANDREW BRUCKER (NPI 1912591140) is an individual mental health provider in Los Angeles, California and active in the NPI registry since February 2021. He has opted out of Medicare through August 28, 2027.

NPPES Registry Identity

NPI1912591140
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. ANDREW BRUCKER
Location Address340 HAUSER BLVD APT 204Los Angeles, CA 90036-5636
Mailing Address340 Hauser Blvd Apt 204Los Angeles, CA 90036-5636 · (213) 866-5173
Phone(213) 866-5173
Sole ProprietorYes
Enumeration DateFebruary 28, 2021
Last NPPES UpdateSeptember 9, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
✔ NPI 1912591140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
340 HAUSER BLVD APT 204, Los Angeles, CA 90036
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Andrew Brucker has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 28, 2023 through August 28, 2027.

Opt-Out Effective DateAugust 28, 2023
Opt-Out In Effect ThroughAugust 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Andrew Brucker's NPI number?

The NPI number for Andrew Brucker is 1912591140. It was assigned to this individual provider in the NPPES registry on February 28, 2021.

Where is Andrew Brucker located?

Andrew Brucker practices at 340 Hauser Blvd Apt 204, Los Angeles, CA 90036. The listed phone number is (213) 866-5173.

What is Andrew Brucker's specialty?

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

Is Andrew Brucker enrolled in Medicare?

No. Andrew Brucker has opted out of Medicare through August 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Andrew Brucker was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.