MRS. JULIE ANN BRUSAW (NPI# 1053494443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053494443 |
| Entity Type | Individual |
| Full Name | MRS. JULIE ANN BRUSAW |
| Credential | MA LCPC LMFT |
| Practice Address |
1035 Baldy Mountain Rd Sandpoint ID 83864-9250 |
| Mailing Address |
10561 Sagle Rd Sagle ID 83860-8836 |
| Practice Telephone | 2082559277 |
| Practice Fax Number | 2082551254 |
| Mailing Telephone | 2082559277 |
| Mailing Fax Number | 2082551254 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
LCPC-2639 | ID | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | LMFT-2640 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MHN | 154413 | 01 |
| ID | BLUE CROSS | Q3261 | 01 |
| WA | FIRST CHOICE HEALTH | 154413 | 01 |
| ID | REGENCE BLUE SHIELD | 0000101038597 | 01 |
| Street Address |
1035 BALDY MOUNTAIN RD |
| City | SANDPOINT |
| State | ID |
| Zip Code | 83864-9250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| 1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
| 1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
| 1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
| 1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
| 1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
| 1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
| 1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
| 1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
| 1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
| Find all providers in zip 83864 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901948 | Your Family Counseling Center, LLC | Counselor | 1714 Northshore Dr, Sandpoint, ID 83864-2715 | 2020-04-17 |
| 1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
| 1598146839 | Barbara Perusse | Counselor | 231 N 3rd Ave Ste 204, Sandpoint, ID 83864-1418 | 2015-06-12 |
| 1073879813 | The Heart Mind Center, LLC | Counselor | 7336 Upper Pack River Rd, Sandpoint, ID 83864-5948 | 2012-04-05 |
| 1023288974 | Mary Mikell Zimmerman | Counselor | 804 Airport Way, Bonner Business Center, Sandpoint, ID 83864-8200 | 2008-03-06 |
| 1467635748 | Clark Edward Richman | Counselor | 212 N 1st Ave Ste 203, Suite 203, Sandpoint, ID 83864-1451 | 2007-12-10 |
| 1417513532 | Robert E. Rust Md | Counselor | 1301 N Division Ave, Sandpoint, ID 83864-8268 | 2019-05-14 |
| 1063953446 | Michelle Woodward | Counselor | 1717 Ontario St, Sandpoint, ID 83864-9329 | 2017-03-17 |
| 1477914273 | Marina Ferrier | Counselor | 105 Pine St, Suite 108, Sandpoint, ID 83864-1369 | 2016-03-08 |
| 1689068793 | Shannon Hurd | Counselor | 506 N 4th Ave, Sandpoint, ID 83864-1513 | 2015-03-26 |
| Find all providers in SANDPOINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.