Juanita Claudian Bruno, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3880 Issued in FL

Practice address

6620 Southpoint Dr S Ste 450C
Jacksonville, FL 32216-0912

Phone

(703) 618-9668

NPI assigned

Feb 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thriveworks Clinical - Florida Inc

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1396360996
  Medicare reassignment NPD

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1093011041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 SOUTHPOINT DR S STE 450C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160912",
            "telephone_number": "703-618-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 SOUTHPOINT DR S STE 450C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160912",
            "telephone_number": "703-618-9668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2748 University Blvd W",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322172123",
            "country_code": "US",
            "telephone_number": "904-739-2242 x1203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "JUANITA",
        "middle_name": "CLAUDIAN",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT1308",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.therapynotes.com/",
            "affiliation": "N",
            "endpointDescription": "Therapy Notes EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Therapy Notes",
            "address_1": "6620 Southpoint Dr S Ste 450C",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322160912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laia Brunet I Torres, MD
• Gina Brunetti, PT, DPT
• Chimere Bruning, PA-C
• Shannon Roxanne Brunner, LMT
• Jessica Bruno, OTR/L
• Thomas James Bruno
• Christopher Brunson, CAP 5938
• Jazmyne Brunson
• Brushes and Brackets Dental Studio
• Betty Regina Bryan

• Marriage & Family Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.