Katherine Bromberg, LMFT
Individual provider Active NPI Marriage & Family Therapist · Columbus, OH
NPI 1154897940 · NPPES record last updated Sep 8, 2021
Key facts
- NPI
- 1154897940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- M.1800085 (OH)
- Practice address
- 399 E Main St
Columbus, OH 43215-5384 - Phone
- (614) 355-8550
- NPI assigned
- Oct 18, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4160-R | NV | MD | Marriage & Family Therapist |
| M.1800085 | OH | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Life Coaching LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4160-R | NV | |
| Marriage & Family Therapist | 106H00000X | M.1800085 | OH | Yes |
Addresses
Primary practice location
399 E Main St
Columbus, OH 43215-5384
Mailing address
Dept 781625 PO Box 78000
Detroit, MI 48278-1625
Phone (614) 355-8004
Other practice location 1
2780 S Jones Blvd Ste 100A
Las Vegas, NV 89146-5625
Phone (702) 820-3061
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1473276 | Medicaid | OH |
Other providers in Columbus, OH
- Alyssa Brohl
- Anja Vesanen Brokaw
- Amy E. Brokken
- Chloe Brokop
- Heather Marie Brom
- Herbert A Bronstein
- Gianna Bronston
- Kay Lynn Brook
- Julie Brookbank-Mizer
- Brookdale Living Communities of Ohio-SP, LLC
All providers in Columbus, OH · Marriage & Family Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.