MEDICARE: MRS. BREE ELIZABETH NUSSBAUM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	166.012190	IL

General Provider Information

NPI Number	:	1770215956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BREE ELIZABETH NUSSBAUM

Provider Business Mailing Address
First Line	:	1283 KELLY JOHNSON BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3925
Country	:	US
Telephone Number	:	719-452-4803
Fax Number	:

Provider Business Practice Location Address
First Line	:	1283 KELLY JOHNSON BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3925
Country	:	US
Telephone Number	:	719-452-4803
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2022
Last Update Date	:	02/05/2026

Similar Medicare Providers

1972048098 — NEUROFEEDBACK COLORADO SPRINGS, INC.
Practice Location Address:

1283 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO
80920-3925

Practice Phone: 719-639-2928
Practice Fax: 719-203-6847

1508305517 — SARAH STOVER LPC
Practice Location Address:

1283 KELLY JOHNSON BLVD STE 200
COLORADO SPRINGS, CO
80920-3925

Practice Phone: 719-413-6776
Practice Fax:

1306351440 — BAILEY NOEL WESTERFIELD ANDERSON LPC
Practice Location Address:

1283 KELLY JOHNSON BLVD STE 200
COLORADO SPRINGS, CO
80920-3925

Practice Phone: 719-722-9089
Practice Fax:

1659879781 — LOGAN KEVILLE
Practice Location Address:

1283 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO
80920-3925

Practice Phone: 719-452-4803
Practice Fax:

1588166144 — MAYFIELD COUNSELING CENTERS
Practice Location Address:

1283 KELLY JOHNSON BLVD STE 100
COLORADO SPRINGS, CO
80920-3925

Practice Phone: 719-452-4801
Practice Fax:

1760962955 — DR. JOSE LUIS TAPIA-FUSELIER JR. PHD, CRC, LPC, NCC
Practice Location Address:

1283 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO
80920-3925

Practice Phone: 719-413-6776
Practice Fax:

Directions to “ MRS. BREE ELIZABETH NUSSBAUM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.