IndividualActive
John Brucklier, MSW
NPI 1780902122 · Mental Health Counselor · Republic, WA
Provider details
- NPI number
- 1780902122
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- No
- License
- RC00052748 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
42 Klondike
Republic, WA 99166-1266
Phone: (509) 775-3341
Fax: (509) 775-2937
Street-level locationGet directions
Mailing address
Po Box 1120
Republic, WA 99166-1120
Registry dates
- Enumerated
- 2010-05-10
- Last updated
- 2010-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.