Active NPI
Thomas Bruett, LMFT
- Marriage & Family Therapist
- Denver, CO
National Provider Identifier
1801325188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 99956
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0001922 | CO | MD | Addiction (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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.