Healthcare Provider Details

I. General information

NPI: 1164086377
Provider Name (Legal Business Name): JENNIFER S BRUNI NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER SUSAN BRUNI NCC, LPC

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 POTOMAC AVE
PITTSBURGH PA
15216-2135
US

IV. Provider business mailing address

9 FIELDSTONE CT
PLUM PA
15239-1074
US

V. Phone/Fax

Practice location:
  • Phone: 412-719-5980
  • Fax:
Mailing address:
  • Phone: 412-719-5980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC011058
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: