Individual provider Active NPI

Nannette Bruhn-Harney, LMFT

  • Marriage & Family Therapist
  • Placerville, CA
National Provider Identifier
1174653547
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 44206 Issued in CA
Practice address
4535 Missouri Flat Rd Ste 200D
Placerville, CA 95667-6808
Phone
(530) 903-6989
Fax
(530) 296-5061
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LR0300315 CA
Marriage & Family Therapist 106H00000X MFC 44206 CA Primary

Addresses

Primary practice location

4535 Missouri Flat Rd Ste 200D
Placerville, CA 95667-6808

Mailing address

PO Box 284
Pilot Hill, CA 95664-0284
Phone (530) 903-6989

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
LR0300315CAMDAddiction (Substance Use Disorder) Counselor
MFC 44206CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1174653547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "PILOT HILL",
            "state": "CA",
            "postal_code": "956640284",
            "telephone_number": "530-903-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 MISSOURI FLAT RD STE 200D",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676808",
            "telephone_number": "530-903-6989",
            "fax_number": "530-296-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUHN-HARNEY",
        "first_name": "NANNETTE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LR0300315",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 44206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.