MRS. JULIE ANN BRUSAW MA LCPC LMFT NPI 1053494443

NPI Information

NPI: 1053494443
Provider Name: MRS. JULIE ANN BRUSAW, MA LCPC LMFT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1035 BALDY MOUNTAIN RD
SANDPOINT, ID
ZIP 83864
Phone: (208) 255-9277
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MRS. Julie Ann Brusaw, MA LCPC LMFT is a professional counselor in Sandpoint, ID. MRS. Julie Ann Brusaw, MA LCPC LMFT NPI is 1053494443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1035 BALDY MOUNTAIN RD
SANDPOINT, ID
ZIP 83864-250
Phone: (208) 255-9277
Fax: (208) 255-1254

The enumeration date for this NPI number is 10/23/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LCPC-2639	IDAHO	Yes
2	106H00000X	Marriage & Family Therapist		LMFT-2640	IDAHO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q3261	OTHER	IDAHO	BLUE CROSS
2	0000101038597	OTHER	IDAHO	REGENCE BLUE SHIELD
3	154413	OTHER	WASHINGTON	FIRST CHOICE HEALTH
4	154413	OTHER	CALIFORNIA	MHN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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