Ethan Linnell Bratt, MS, LMFT, CST

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0001102 Issued in CO

Practice address

1711 61St Ave Ste 206
Greeley, CO 80634-3049

Phone

(970) 599-1820

NPI assigned

Nov 2, 2009

Last updated

Dec 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD Authorized official
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  NPD Authorized official

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1699001255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 102ND AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349058",
            "telephone_number": "970-599-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 61ST AVE STE 206",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343049",
            "telephone_number": "970-599-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATT",
        "first_name": "ETHAN",
        "middle_name": "LINNELL",
        "credential": "MS, LMFT, CST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Loius Braham, M.S., PLMFT
• Jenny Lee Brakovec, MD
• Gayann Rene Brandenburg, M.S.
• Rachel Brannan, MS, LPCC
• Joanna Humprey Branum, MD
• Lillian Brauer, RBT
• Brave Psychology, PLLC
• Jacob Brawner Yahm
• Colten M Bray, NP
• Patricia Brazzel, LPC

• Marriage & Family Therapist in Greeley, CO
• Providers in Greeley, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.