Active NPI
Brian Fruchtman, LMSW
- Mental Health Counselor
- Saint Paul, MN
National Provider Identifier
1083523625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 118316
- Practice address
- 2196 Lower Afton Rd E Apt 112
Saint Paul, MN 55119-5034 - Phone
- (612) 389-6865
- NPI assigned
- Sep 1, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 118316 | NY | Primary |
Addresses
Primary practice location
2196 Lower Afton Rd E Apt 112
Saint Paul, MN 55119-5034
Mailing address
2196 Lower Afton Rd E Apt 112
Saint Paul, MN 55119-5034
Phone (612) 475-2698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1083523625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2196 LOWER AFTON RD E APT 112",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551195034",
"telephone_number": "612-475-2698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2196 LOWER AFTON RD E APT 112",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551195034",
"telephone_number": "612-389-6865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUCHTMAN",
"first_name": "BRIAN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "118316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.