Brain Bleach Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRAIN BLEACH COUNSELING PLLC

Practice address

1851 Ladbrook LN
Saint Cloud, MN 56303-4849

Phone

(712) 392-0953

NPI assigned

Nov 12, 2025

Last updated

Nov 12, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew David Hansen, MS, LPCCNPI 1619433265

Title

Principle

Phone

(712) 392-0953

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew David Hansen

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1619433265
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1043170236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 LADBROOK LN",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034849",
            "telephone_number": "712-392-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 LADBROOK LN",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034849",
            "telephone_number": "712-392-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN BLEACH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "712-392-0953",
        "authorized_official_credential": "MS, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip F Boyle, M.D.
• Kourtney N Bradford Seubert, MD
• Lonnie Bradford, PSY.D
• Rachel Bradshaw, MSN
• Michael Scott Bragge, CRNA
• Jaclyn Brambrink, RN
• Molly Lynn Branaugh, PHARMD
• Brenda Lee Brannan, RN
• Rebecca Rose Brannan, RDN, LD
• Seth Brashear

• Mental Health Counselor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.