NPIMap

Organization Active NPI

Dr Brecke Counseling Group

  • Counseling Psychologist
  • Eagan, MN
National Provider Identifier
1174174908
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
DR BRECKE COUNSELING GROUP
Practice address
1185 Town Centre Dr Ste 245
Eagan, MN 55123-1187
Phone
(651) 206-5783
NPI assigned
Sep 23, 2019
Last updated
Sep 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Authorized official

Name
Dr. Kristy Brecke, DMFT LPCCNPI 1326371147
Title
Owner/ Therapist
Phone
(651) 206-5783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

1185 Town Centre Dr Ste 245
Eagan, MN 55123-1187

Mailing address

3698 Windtree Dr
Eagan, MN 55123-1318
Phone (651) 235-8751

National Provider Directory

National Provider Directory

Locations

1185 Town Centre Dr
Ste 230
Eagan, MN 55123

1185 Town Centre Dr
Ste 245
Eagan, MN 55123
Phone (651) 206-5783

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1174174908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3698 WINDTREE DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231318",
            "telephone_number": "651-235-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 TOWN CENTRE DR STE 245",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231187",
            "telephone_number": "651-206-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRECKE COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "BRECKE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "651-206-5783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMFT LPCC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.