Individual provider Active NPI

Briana Jo Freeberg, MA, LMFT

  • Marriage & Family Therapist
  • Eden Prairie, MN
National Provider Identifier
1073962247
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3125 Issued in MN
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

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3125MedicaidMN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250417002060 MN Practitioner - Marriage and Family Therapist 6901321363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3125MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Therapeutic Support Services PLLC Marriage & Family Therapist CurrentSince Apr 15, 2025 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.

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

Verify at the official NPI Registry.