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ETHAN BERNAUER
NPI 1124808365
Marriage & Family Therapist in Louisville, KY

Active since October 04, 2023PECOS Enrolled
8621 OAKS WAY, LOUISVILLE, KY 40299(502) 689-6300 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2026, Oct 4, 2023 (2 updates tracked since 2023).

About Ethan Bernauer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN BERNAUER (NPI 1124808365) is an individual marriage & family therapist in Louisville, Kentucky, licensed in Kentucky (287692) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124808365
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameETHAN BERNAUER
Location Address8621 OAKS WAYLouisville, KY 40299-3397
Mailing Address8621 Oaks WayLouisville, KY 40299-3397 · (502) 689-6300
Phone(502) 689-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 4, 2023
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1124808365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in KY · 287692
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
8621 OAKS WAY, Louisville, KY 40299
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Bernauer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002388832
PECOS Enrollment IDI20260612001640
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Bernauer's NPI number?

The NPI number for Ethan Bernauer is 1124808365. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Where is Ethan Bernauer located?

Ethan Bernauer practices at 8621 Oaks Way, Louisville, KY 40299. The listed phone number is (502) 689-6300.

What is Ethan Bernauer's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Ethan Bernauer enrolled in Medicare?

Yes. Ethan Bernauer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Bernauer was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.