Active NPI
Briana Jo Freeberg, MA, LMFT
- Marriage & Family Therapist
- Eden Prairie, MN
National Provider Identifier
1073962247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3125
- Practice address
- 6458 City W Pkwy
Eden Prairie, MN 55344-3245 - Phone
- (651) 815-2045
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3125 | MN | Primary |
Addresses
Primary practice location
6458 City W Pkwy
Eden Prairie, MN 55344-3245
Mailing address
6458 City W Pkwy
Eden Prairie, MN 55344-3245
Phone (651) 815-2045
Other practice location 1
1360 Energy Park Dr
Saint Paul, MN 55108-5276
Phone (651) 815-2045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3125 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250417002060 | MN | Practitioner - Marriage and Family Therapist | 6901321363 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3125 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Therapeutic Support Services PLLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
600 W 78th St
Ste 10
Chanhassen, MN 55317
Phone (952) 405-9369
600 W 78th St
Ste 10I
Chanhassen, MN 55317
Phone (612) 702-1976
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Chanhassen, MN
- NPI 1831545771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1073962247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6458 CITY W PKWY",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443245",
"telephone_number": "651-815-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6458 CITY W PKWY",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443245",
"telephone_number": "651-815-2045"
}
],
"practiceLocations": [
{
"address_1": "1360 Energy Park Dr",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551085276",
"country_code": "US",
"telephone_number": "651-815-2045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREEBERG",
"first_name": "BRIANA",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3125",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.