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Emerald Bridges Family Therapy, LLC

Clinical Social Worker in Independence, IA · enumerated 2016 · authorized official Tara Nissen, Mental Health Therapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073966123

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Registry record

Entity type Organization (Type 2)
Legal business name Emerald Bridges Family Therapy, LLC
Practice address 2349 Jamestown Ave, Suite 5, Independence, IA, 50644
Phone (563) 579-1181
Fax (319) 332-1241
Enumeration date Jul 13, 2016
Last updated in NPPES Jul 13, 2016

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 007613 (IA) Primary

Authorized official

Name Tara Nissen
Title Mental Health Therapist
Phone (563) 579-1181

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Emerald Bridges Family Therapy, LLC?
NPPES lists Tara Nissen (Mental Health Therapist) as the authorized official for this organization.
What is the NPI number for Emerald Bridges Family Therapy, LLC?
The NPI for Emerald Bridges Family Therapy, LLC is 1073966123, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-13.