Emerald Bridges Family Therapy, LLC
NPI 1073966123 · Clinical Social Worker · Independence, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Emerald Bridges Family Therapy, LLC is a Clinical Social Worker organization in Independence, IA (NPI 1073966123).
Provider details
- NPI number
- 1073966123
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tara Nissen, Mental Health Therapist(563) 579-1181
- License
- 007613 (IA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-07-13
- Last updated
- 2016-07-13
Frequently asked questions
- What is Emerald Bridges Family Therapy, LLC's NPI number?
- Emerald Bridges Family Therapy, LLC's National Provider Identifier (NPI) is 1073966123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emerald Bridges Family Therapy, LLC?
- Emerald Bridges Family Therapy, LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Emerald Bridges Family Therapy, LLC located?
- Emerald Bridges Family Therapy, LLC's practice location on file with NPPES is 2349 Jamestown Ave, Independence, IA 50644-9709.
- What is Emerald Bridges Family Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Emerald Bridges Family Therapy, LLC is (563) 579-1181.
- Does Emerald Bridges Family Therapy, LLC accept Medicare?
- Emerald Bridges Family Therapy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Emerald Bridges Family Therapy, LLC?
- The authorized official listed on Emerald Bridges Family Therapy, LLC's NPPES record is Tara Nissen, Mental Health Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emerald Bridges Family Therapy, LLC's NPI active?
- Yes — Emerald Bridges Family Therapy, LLC's NPI (1073966123) is active in the NPPES registry as of the last update on 2016-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.