Active NPI
Brenna Therese Von Hauzen, MMFT, LMFT
- Marriage & Family Therapist
- Greenville, SC
National Provider Identifier
1770948259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4613
- Practice address
- 3523 Pelham Rd
Suite B
Greenville, SC 29615-4187 - Phone
- (864) 270-0486
- Fax
- (864) 520-2866
- NPI assigned
- Dec 28, 2015
- 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 | 4613 | SC | Primary |
Addresses
Primary practice location
3523 Pelham Rd
Suite B
Greenville, SC 29615-4187
Mailing address
3523 Pelham Rd
Suite B
Greenville, SC 29615-4187
Phone (864) 270-0486
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4613 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1770948259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3523 PELHAM RD",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154187",
"telephone_number": "864-270-0486",
"fax_number": "864-520-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3523 PELHAM RD",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154187",
"telephone_number": "864-270-0486",
"fax_number": "864-520-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON HAUZEN",
"first_name": "BRENNA",
"middle_name": "THERESE",
"name_prefix": "Ms.",
"credential": "MMFT, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-28",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "4613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.