Active NPI
Laura Bruce, MA, LMFT
- Marriage & Family Therapist
- Fort Wayne, IN
National Provider Identifier
1265196448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35002183A
- Practice address
- 6331 Constitution Dr
Fort Wayne, IN 46804-1547 - Phone
- (260) 905-2105
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 35002183A | IN | Primary |
Addresses
Primary practice location
6331 Constitution Dr
Fort Wayne, IN 46804-1547
Mailing address
1147 W Rudisill Blvd
Fort Wayne, IN 46807-2142
Phone (260) 905-2105
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laura@holdingspacecounseling.biz | Direct |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35002183A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holding Space Counseling | Current | Accepting new patients |
Locations
6339 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 200-3916
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Fort Wayne, IN
- NPI 1902783533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1265196448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1147 W RUDISILL BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468072142",
"telephone_number": "260-905-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6331 CONSTITUTION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041547",
"telephone_number": "260-905-2105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "LAURA",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35002183A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laura@holdingspacecounseling.biz",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6331 Constitution Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468041547",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.