Shannon Bruckbauer
NPI 1972295947 · Mental Health Counselor · South Lake Tahoe, CA
Shannon Bruckbauer is a Mental Health Counselor provider in South Lake Tahoe, CA (NPI 1972295947).
Provider details
- NPI number
- 1972295947
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9065 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-05-25
- Last updated
- 2023-05-25
- Certified
- 2023-05-25
Frequently asked questions
- What is Shannon Bruckbauer's NPI number?
- Shannon Bruckbauer's National Provider Identifier (NPI) is 1972295947, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Bruckbauer's specialty?
- Shannon Bruckbauer is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Shannon Bruckbauer located?
- Shannon Bruckbauer's practice location on file with NPPES is 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305.
- What is Shannon Bruckbauer's phone number?
- The practice phone number listed in the NPPES registry for Shannon Bruckbauer is (530) 573-7970.
- Is Shannon Bruckbauer's NPI active?
- Yes — Shannon Bruckbauer's NPI (1972295947) is active in the NPPES registry as of the last update on 2023-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.