Active NPI
Paula Marie Brewer, MS, LMFT, LPC, NCC
- Marriage & Family Therapist
- Rochester, MN
National Provider Identifier
1114112109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1613
- Practice address
- 1110 6TH St NW
Rochester, MN 55901-1839 - Phone
- (507) 287-2010
- NPI assigned
- Sep 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 00505 | MN | |
| Marriage & Family Therapist | 106H00000X | 1613 | MN | Primary |
Addresses
Primary practice location
1110 6TH St NW
Rochester, MN 55901-1839
Mailing address
4133 Blossom LN NW
Rochester, MN 55901-6996
Phone (507) 990-3065
Other names 1
- Miss Paula Marie Butler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00505 | MN | MD | Professional Counselor |
| 1613 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Rochester | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/familyservicerochester/r4/
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.
-
- Case Management Agency
- Rochester, MN
- NPI 1487874996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1114112109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4133 BLOSSOM LN NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559016996",
"telephone_number": "507-990-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 6TH ST NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559011839",
"telephone_number": "507-287-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "PAULA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS, LMFT, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "00505",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAULA",
"last_name": "BUTLER",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "MS, LMFT, LPC, NCC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.