JOHN ALEXANDER BRUNDAGE


Address: 1311 N Dixie Hwy, Building C, Elizabethtown, KY 42701-2621
Phone: 2707691304

JOHN ALEXANDER BRUNDAGE (NPI# 1669891693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669891693
Entity Type Individual
Full Name JOHN ALEXANDER BRUNDAGE
Practice Address 1311 N Dixie Hwy
Building C
Elizabethtown
KY 42701-2621
Mailing Address 2903 S 3rd St
Apt 1
Louisville
KY 40208-1414
Practice Telephone 2707691304
Mailing Telephone 9374143652
Enumeration Date 2014-04-07
Last Update Date 2014-04-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers JOHN BRUNDAGE

NPI Name Taxonomy Address Enumeration
1417040908 John Reed Brundage Psychologist 144 Morgan Street, Suite 7, Stamford, CT 06905 2006-10-02

Office Location

Street Address 1311 N DIXIE HWY
BUILDING C
City ELIZABETHTOWN
State KY
Zip Code 42701-2621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619929379 Carla A Mackey Counselor 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2006-05-17
1346630639 Christina Spalding Social Worker 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2015-01-26
1376950303 Karen Hall Counselor 1311 N Dixie Hwy, Building A, Elizabethtown, KY 42701-2621 2014-07-22
1760899504 Ronald Allan Lemasters Counselor 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2014-07-14
1730599150 Katelyn Gosnell Counselor 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2014-05-07
1265852057 Shirley Anne Pittman Artis Community/Behavioral Health 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2014-04-21
1730505058 Sytrina Yvette Turner Social Worker 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2014-03-11
1720400583 Veness Nesha Hall Counselor 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2014-01-14
1093137861 Brittiney Washington Counselor 1311 N Dixie Hwy, Bldg C, Elizabethtown, KY 42701-2621 2014-01-14
1740614403 Anna Elizabreth Martin Counselor 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 2013-08-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720693104 James G. Thornton Specialist/Technologist, Other 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 2020-09-11
1033720727 Rebecca Williams Pharmacist 1602 N Dixie Highway, Elizabethtown, KY 42701 2020-08-14
1245855709 Mckenzie Jo Clemons Speech-Language Pathologist 107 Financial Drive, Elizabethtown, KY 42701 2020-06-10
1215565825 Christina Nichole Hobson Peer Specialist 413 E Dixie Ste 106, Elizabethtown, KY 42701 2020-03-30
1336701275 Cassandra Elizabeth Baker Nurse Practitioner 2005 N. Dixie Highway, Elizabethtown, KY 42701 2019-07-01
1487134276 Ryan Leon Hogan Marriage & Family Therapist 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 2018-08-21
1033623921 Kayla Russell Behavior Technician 529 Westport Road, Elizabethtown, KY 42701 2017-11-30
1578087128 Brenda Gale Nunn Case Manager/Care Coordinator 2600 Ring Road, Elizabethtown, KY 42701 2017-07-26
1013451277 Chelsea Danielle Thorn Nurse Practitioner 2005 N. Dixie Hwy, Elizabethtown, KY 42701 2016-12-07
1003364597 Joseph Michael Senay Pharmacist 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 2016-09-14
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669024238 Kristian Herron Counselor 2410 Ring Rd Ste 500, Elizabethtown, KY 42701-7991 2019-07-12
1407335664 Kimberly Gose Counselor Communicare, Inc., 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 2018-08-08
1851808471 Deborah Kay Mccolpin Counselor 1311 N Dixie Ave Bldg C, Elizabethtown, KY 42701-2621 2018-01-04
1194244673 Kimberly Lynn Lucas Counselor Communicare 107 Cranes Roost Ct, Elizabethtown, KY 42702-3650 2017-09-15
1730603804 Lauren Spencer Counselor Communicare, Inc, 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 2017-07-31
1326414855 Amanda Stephens Counselor 1311 N Dixie Hwy # A, Elizabethtown, KY 42701-2621 2015-08-19
1568842227 Shannon Maureen Gonter Counselor 1311 Dixie Highway, Elizabethtown, KY 42701 2015-06-08
1972918928 Geneva Polser Counselor 1311 N Dixie Hwy Bldg C, Elizabethtown, KY 42701-2621 2014-06-29
1417388356 Brandy Buster Counselor 1311 N Dixie Hwy Bldg A, Elizabethtown, KY 42701-2621 2013-12-03
1578808747 Megan Pierce Counselor 400 Mercer Mill Road, Elizabethtown, NC 28337 2012-11-29
Find all providers in ELIZABETHTOWN

Competitor

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City ELIZABETHTOWN
Zip Code 42701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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