Organization Active NPI

Katrina Bruns Therapy Services LLC

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1295448678
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATRINA BRUNS THERAPY SERVICES LLC
Practice address
563 Sierra del Sol Ave
Las Cruces, NM 88012
Phone
(563) 513-8076
NPI assigned
Jan 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Racheldawn Vega
Title
Credentialing
Phone
(505) 289-0047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

563 Sierra del Sol Ave
Las Cruces, NM 88012

Mailing address

2050 E Wisconsin Ave Apt 937a
Las Cruces, NM 88001-5027
Phone (563) 513-8076

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1295448678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 E WISCONSIN AVE APT 937A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015027",
            "telephone_number": "563-513-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 SIERRA DEL SOL AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88012",
            "telephone_number": "563-513-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATRINA BRUNS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "RACHELDAWN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "505-289-0047"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.