Priscilla Christine Bruch, PHD, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

CMF0118111 Issued in NM

Practice address

2612 Texas St NE
Albuquerque, NM 87110-4684

Phone

(505) 830-1871

Fax

(505) 830-0040

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Starfish Counseling, LLC

  • Marriage & Family Therapist
  • Albuquerque, NM
  • NPI 1386208437
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1871610121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10433 PAMPLONA ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145607",
            "telephone_number": "505-730-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 TEXAS ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104684",
            "telephone_number": "505-830-1871",
            "fax_number": "505-830-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCH",
        "first_name": "PRISCILLA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "T-0099251",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "0118111",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CMF0118111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Broyles
• Jorge Oscar Brozicevich, MSW
• Cheryl Renee Brubaker, DNP, FNP-BC
• Dean Elmer Bruce, M.D.
• Levi Bruce
• Natalia Bruciaga
• Katherine Cecilia Brueggemann
• Deanna C. Bruer, LMHC, NCC, LSAA
• Rober Dale Brugger, PHYSICIAN ASSISTANT
• Mark Dyar Brum, DDS

• Marriage & Family Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.