Briana Bauleke, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3115 Issued in MN

Practice address

3460 Washington Dr Ste 110
Eagan, MN 55122-4301

Phone

(651) 688-0488

NPI assigned

Nov 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Cedar Valley Center for Child & Family Therapy, PLLC

  • Preferred Provider Organization
  • Eagan, MN
  • NPI 1518362193
  NPD (past)

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1194239798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 HAMPTON ST NE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721370",
            "telephone_number": "320-493-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 WASHINGTON DR STE 110",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224301",
            "telephone_number": "651-688-0488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14125 Louisiana Ave Unit 11205",
            "address_purpose": "LOCATION",
            "city": "Savage",
            "state": "MN",
            "postal_code": "553785808",
            "country_code": "US",
            "telephone_number": "320-493-4704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAULEKE",
        "first_name": "BRIANA",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monica A Bayer, RNC, OGNP
• John A Beall Jr., MD
• Joan M Beard, NP
• Bears Counseling PLLC
• Tyler Beauchamp, LMT

• Marriage & Family Therapist in Eagan, MN
• Providers in Eagan, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.