Individual provider Active NPI

Andrea M Nus, LMFT

  • Marriage & Family Therapist
  • Cedar Rapids, IA
National Provider Identifier
1477896124
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000392 Issued in IA
Practice address
260 33Rd Ave SW Ste X2
Cedar Rapids, IA 52404-4646
Phone
(319) 423-8033
Fax
(319) 483-6793
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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 000392 IA Primary

Addresses

Primary practice location

260 33Rd Ave SW Ste X2
Cedar Rapids, IA 52404-4646

Mailing address

260 33Rd Ave SW Ste X2
Cedar Rapids, IA 52404-4646
Phone (319) 423-8033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000392IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Family Solutions, LLC PastSince Dec 30, 2015 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1477896124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 33RD AVE SW STE X2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524044646",
            "telephone_number": "319-423-8033",
            "fax_number": "319-483-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 33RD AVE SW STE X2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524044646",
            "telephone_number": "319-423-8033",
            "fax_number": "319-483-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUS",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.