Individual provider Active NPI

Frank Michael Bruno, LMFTA

  • Marriage & Family Therapist
  • Issaquah, WA
National Provider Identifier
1033650361
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
60842867 Issued in WA
Practice address
300 NE Gilman Blvd Ste 300
Issaquah, WA 98027-2941
Phone
(425) 625-9102
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X 60842867 WA Primary

Addresses

Primary practice location

300 NE Gilman Blvd Ste 300
Issaquah, WA 98027-2941

Mailing address

4726 172ND CT SE # 300
Bellevue, WA 98006-5819
Phone (425) 625-9102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 5, 2024 through Aug 5, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60842867WAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1033650361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 172ND CT SE # 300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065819",
            "telephone_number": "425-625-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NE GILMAN BLVD STE 300",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272941",
            "telephone_number": "425-625-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "FRANK",
        "middle_name": "MICHAEL",
        "credential": "LMFTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "60842867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.