Individual provider Active NPI

Joy Nussen, LMFT

  • Marriage & Family Therapist
  • West Linn, OR
National Provider Identifier
1124395413
Registry record updated Jun 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT28654 Issued in CA
Practice address
19325 Robin Cir Apt 72
West Linn, OR 97068-2354
Phone
(949) 422-6355
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X T1997 OR
Marriage & Family Therapist 106H00000X MFT28654 CA Primary

Addresses

Primary practice location

19325 Robin Cir Apt 72
West Linn, OR 97068-2354

Mailing address

19325 Robin Cir Apt 72
West Linn, OR 97068-2354
Phone (949) 422-6355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT28654CAMDMarriage & Family Therapist
T1997ORMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1124395413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19325 ROBIN CIR APT 72",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682354",
            "telephone_number": "949-422-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19325 ROBIN CIR APT 72",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682354",
            "telephone_number": "949-422-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSEN",
        "first_name": "JOY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1997",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT28654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.