Individual provider Active NPI

Thomas Bruett, LMFT

  • Marriage & Family Therapist
  • Denver, CO
National Provider Identifier
1801325188
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
99956 Issued in CA
Practice address
2855 N Speer Blvd Ste D
Denver, CO 80211-4240
Phone
(415) 508-6450
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0001922 CO
Marriage & Family Therapist 106H00000X 99956 CA Primary

Addresses

Primary practice location

2855 N Speer Blvd Ste D
Denver, CO 80211-4240

Mailing address

2855 N Speer Blvd Ste D
Denver, CO 80211-4240
Phone (415) 508-6450

Other names 1

  • Tom Bruett Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 18, 2024 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001922COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1801325188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 N SPEER BLVD STE D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114240",
            "telephone_number": "415-508-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N SPEER BLVD STE D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114240",
            "telephone_number": "415-508-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUETT",
        "first_name": "THOMAS",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001922",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "BRUETT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.