Individual provider Active NPI

Kuno Rudolph Bachbauer, LMFT

  • Marriage & Family Therapist
  • Washington, DC
National Provider Identifier
1255722245
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT000102 Issued in DC
Practice address
2604 Connecticut Ave NW
Suite #200
Washington, DC 20008-1547
Phone
(240) 899-1833
NPI assigned
Feb 11, 2015
Last updated
Feb 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT000102 DC Primary

Addresses

Primary practice location

2604 Connecticut Ave NW
Suite #200
Washington, DC 20008-1547

Mailing address

1107 Nelson St
Suite #204
Rockville, MD 20850-2031
Phone (301) 762-5866

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
LMFT000102DCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1255722245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 NELSON ST",
            "address_2": "SUITE #204",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502031",
            "telephone_number": "301-762-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 CONNECTICUT AVE NW",
            "address_2": "SUITE #200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081547",
            "telephone_number": "240-899-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHBAUER",
        "first_name": "KUNO",
        "middle_name": "RUDOLPH",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "DC",
            "license": "LMFT000102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.