Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Bernauer

Individual provider Marriage & Family Therapist · NPI 1124808365

Ethan Bernauer is a Marriage and Family Therapist in Louisville, Kentucky. Qualified in 2023, 3 years ago. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2023

Practice location Address checks out

8621 Oaks Way
Louisville, KY 40299-3397
Phone: (502) 689-6300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 287692 (KY)

Record details

NPI number1124808365
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 4, 2023
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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