Brady Pieper
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Park Rapids, MN
NPI 1164950796 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1164950796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 304657 (MN)
- Practice address
- 266 Henrietta Ave N
Park Rapids, MN 56470-2155 - Phone
- (218) 252-2785
- NPI assigned
- May 26, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304657 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Center of Natural Healing, PLLC | Past | Accepting new patients | |
| A Better Connection, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 304657 | MN | Yes |
Addresses
Primary practice location
266 Henrietta Ave N
Park Rapids, MN 56470-2155
Mailing address
266 Henrietta Ave N
Park Rapids, MN 56470-2155
Other practice location 1
266 Henrietta Ave N
Park Rapids, MN 56470-2155
Phone (218) 252-2785
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61604 | Other | MN | PRIMEWEST HEALTH PLAN |
| MNMCD | Medicaid | MN | |
| SB720 | Other | MN | BCBS |
Other providers in Park Rapids, MN
- Michael Perez
- Anthony David Peterson
- Jonathon R Peterson
- Lisa Petrie
- Chasity Marie Phillips
- Daniel Wayne Pifher
- Pinoniemi Chiropractic
- James Robert Pinoniemi
- Tiffany Pittman
- Pleasant Avenue Dentistry PLLC
All providers in Park Rapids, MN · Addiction (Substance Use Disorder) Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.