MRS. MARY KATHRYNE BRUN (LPC) – Professional Counselor, NPI 1639464787

MRS. MARY KATHRYNE BRUN (LPC) is a healthcare provider. based in Longview, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 18138 (TX). The NPI Number for MRS. MARY KATHRYNE BRUN (LPC) is 1639464787

Main info

Female
Sole Proprietor
33 Years Of Experience
Name
MRS. MARY KATHRYNE BRUN (LPC)
NPI
1639464787
Phone
(903) 240-4344
Address
3840 GILMER RD
Enumeration Date
16 June 2011
Last Update Date
20 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9032001433
Graduation Year
1993 (33 years ago)
PAC ID
1658815063
Group Practice PAC ID
6901189117
Professional Enrollment ID
I20240626003097
Address ID
TX756052941LO3118XPKWY500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,950 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for MRS. MARY KATHRYNE BRUN (LPC)

  • 3840 GILMER RD

    LONGVIEW, TX 756041173

    Phone: (903) 240-4344

    Fax: (903) 295-5858

    Type: Location

  • 247 TEAL LN

    GILMER, TX 756456894

    Phone: (903) 240-4344

    Fax: (903) 295-5858

    Type: Mailing

  • 3118 H G MOSLEY PKWY

    LONGVIEW, TX 756052941

    Phone: (903) 002-1433

    Fax: (903) 295-5858

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240626003097IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75604)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901189117View full group profile
NameSpecialtyState
Marriage And Family TherapistTX
Mental Health CounselorTX
Mental Health CounselorTX
Clinical PsychologistTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find MRS. MARY KATHRYNE BRUN (LPC)'s NPI?
You can confirm MRS. MARY KATHRYNE BRUN (LPC) with NPI 1639464787; it appears in the national provider directory.
Does this profile mean MRS. MARY KATHRYNE BRUN (LPC) is currently active?
Yes — MRS. MARY KATHRYNE BRUN (LPC) appears active in the national provider directory.
Does MRS. MARY KATHRYNE BRUN (LPC) list a primary specialty?
If you are matching referrals, note Professional Counselor for MRS. MARY KATHRYNE BRUN (LPC). Clinical services aligned with this taxonomy classification.
Where is MRS. MARY KATHRYNE BRUN (LPC)'s primary listing?
We display Longview, Texas because that is what the record indicates for MRS. MARY KATHRYNE BRUN (LPC).
What if Longview, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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