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Active NPI 1932235934 Individual Practitioner Female Practitioner

Shane Brune , LPC

Counselor - Professional • Bryan, TX

Professional Overview & Biography Verified Profile Summary

Shane Brune, LPC is a registered healthcare professional specializing in Counselor - Professional in Bryan, TX. Practice services are available at 1209 EBBTIDE CV under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1209 Ebbtide Cv

Bryan, TX 778458814

Telephone 9792208625

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bryan, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
81 Specialists

Practicing in Bryan, TX (21203 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: 2025-05-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 19890

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License TX 19890

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Lpc License
19890 (TX)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location May 03, 2025

Registered at 1209 EBBTIDE CV, BRYAN, TX 778458814 (Tel: 9792208625)

📍
Updated Business Mailing Address May 03, 2025

Registered at 1209 EBBTIDE CV, COLLEGE STATION, TX 778458814 (Tel: 9792208625)

👤
Provider Name / Credentials Updated May 03, 2025

Recorded as SHANE BRUNE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2025

Counselor (License #19890 in TX)

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 302 E 24TH ST, BRYAN, TX 778035303 (Tel: 9798226467)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1504 TEXAS AVE., P.O. BOX 4588, BRYAN, TX 778054588 (Tel: 9798226467)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SHANE DELOS SANTOS, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #19890 in TX)

🟢
Initial NPI Registration & Enumeration February 26, 2007

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: 1932235934
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2007
Last Update: May 03, 2025
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1209 Ebbtide Cv

College Station, TX 778458814

Phone: 9792208625

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.