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Active NPI 1134381478 Individual Practitioner Female Practitioner

Heidi K Bruner , LPCC

Counselor - Professional • Fairborn, OH

Professional Overview & Biography Verified Profile Summary

Heidi Bruner, LPCC is a registered healthcare professional specializing in Counselor - Professional in Fairborn, OH. Practice services are available at 1016 RAINBOW CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1016 Rainbow Ct

Fairborn, OH 453246365

Telephone 9376413401
Associated Practice Facility / Clinic
🏢 Dayton Children's Hospital Facility NPI 1952480030

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fairborn, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.5 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Fairborn, OH (6923 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.2001590

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0274610 (OH)

Secondary Practice Locations

3300 W Tech Blvd

Miamisburg, OH 453424865

Phone: 9376413401

1 Childrens Plz

Dayton, OH 454041815

Phone: 9376413401

860 Valley St.

Dayton, OH 454042066

Phone: 9376413060

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Carrie Latt , LISW-S

Social Worker - Clinical

NPI 1003002684

LISWS

Susan Kralich , LPCC

Counselor - Professional

NPI 1023496429

Licensed Professional Clinical Counselor

Taylor East , LISW

Social Worker - Clinical

NPI 1053983882

Licensed Independent Social Worker

Dr. Laura Middleton , PhD

Psychologist - Clinical Child & Adolescent

NPI 1073581781

Doctor of Philosophy (Ph.D.)

Jessica Warrick , LPCC, RPT

Counselor - Mental Health

NPI 1093123929

Licensed Professional Clinical Counselor, Registered Physical Therapist

Dr. Sarah Gann , PsyD

Psychologist - Clinical Child & Adolescent

NPI 1104572890

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2025

Counselor (License #E.2001590 in OH)

📍
Updated Business Mailing Address October 07, 2023

Registered at PO BOX 933421, CLEVELAND, OH 441930039 (Tel: 9376413000)

👤
Provider Name / Credentials Updated October 28, 2021

Recorded as HEIDI BRUNER, LPCC

📍
Updated Practice Location August 30, 2021

Registered at 1016 RAINBOW CT, FAIRBORN, OH 453246365 (Tel: 9376413401)

📍
Updated Business Mailing Address August 30, 2021

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376415072)

📍
Updated Practice Location April 11, 2018

Registered at 287 CINCINNATI AVE, XENIA, OH 453855071 (Tel: 9373768700)

📍
Updated Business Mailing Address April 11, 2018

Registered at 452 W MARKET ST, XENIA, OH 453852815

👤
Provider Name / Credentials Updated April 11, 2018

Recorded as HEIDI BRUNER, M. COUN, LPC

NPI Profile Active October 04, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2011

Registered at 182 SW ACADEMY ST, DALLAS, OR 973381922 (Tel: 5038315970)

📍
Updated Business Mailing Address October 04, 2011

Registered at 182 SW ACADEMY ST, DALLAS, OR 973381922 (Tel: 5038315970)

👤
Provider Name / Credentials Updated October 04, 2011

Recorded as HEIDI LO BELLO, M. COUN, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2011

Counselor

🟢
Initial NPI Registration & Enumeration June 27, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134381478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2008
Last Update: October 09, 2025
Sole Proprietor: No

Mailing Address

Po Box 933421

Cleveland, OH 441930039

Phone: 9376415072

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.