Individual provider Active NPI

Brianne G Kaufholz, MFTA

  • Marriage & Family Therapist
  • Longwood, FL
National Provider Identifier
1770633828
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2392 Issued in FL
Practice address
320 Crown Oaks Centre Dr
Longwood, FL 32750-6149
Phone
(727) 512-0384
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 05-0038 KY
Marriage & Family Therapist 106H00000X LF00002672 WA
Marriage & Family Therapist 106H00000X MT2392 FL Primary

Addresses

Primary practice location

320 Crown Oaks Centre Dr
Longwood, FL 32750-6149

Mailing address

100 Crown Oaks Centre Dr
Longwood, FL 32750-6166
Phone (407) 797-2326

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
MT2392FLMDMarriage & Family Therapist
05-0038KYMDMarriage & Family Therapist
LF00002672WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Counseling of Orlando Marriage & Family Therapist Past 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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1770633828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROWN OAKS CENTRE DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506166",
            "telephone_number": "407-797-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CROWN OAKS CENTRE DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506149",
            "telephone_number": "727-512-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFHOLZ",
        "first_name": "BRIANNE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "MFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "05-0038",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002672",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.