Beth Louise Brantner, M.ED./LAC/LPCC
Individual provider Active NPI Professional Counselor · Moorhead, MN
NPI 1023316874 · NPPES record last updated Aug 29, 2025
Key facts
- NPI
- 1023316874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CC000625 (MN)
- Practice address
- 1115 9TH St N
Moorhead, MN 56560-1511 - Phone
- (701) 429-4866
- NPI assigned
- Mar 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC000625 | MN | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 348-3-1-96-108 | ND | |
| Professional Counselor | 101YP2500X | CC000625 | MN | Yes |
Addresses
Primary practice location
1115 9TH St N
Moorhead, MN 56560-1511
Mailing address
1115 9TH St N
Moorhead, MN 56560-1511
Phone (701) 429-4866
Other providers in Moorhead, MN
- Jeffrey C Braaflat
- Braden Partners, LP
- Grace Brandon
- Brandt Opticare Inc
- Ronald D Brandt
- Natasha Deett Braseth
- Anna Jean Bratsch
- Emily Breitbach
- Jihan Brifki
- Elizabeth Brisk
All providers in Moorhead, MN · Professional Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.