Jenal Brant
Individual provider Active NPI Professional Counselor · Baxter, MN
NPI 1205623014 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1205623014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5206 (MN)
- Practice address
- 13045 Falcon Dr Ste 100
Baxter, MN 56425-4201 - Phone
- (218) 829-9307
- Fax
- (218) 829-7649
- NPI assigned
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1900 Silver Lake Rd NW
Suite 110
New Brighton, MN 55112-1789
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251029001715 | MN | Practitioner - Mental Health Counselor | 1557850617 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Single Specialty | Current |
Accepting new patients |
| Family Support Services Inc. | Single Specialty | Past |
Accepting new patients |
Locations
13045 Falcon Dr
#100
Brainerd, MN 56425
Phone (218) 203-6282
9245 Quantrelle Ave NE
Otsego, MN 55330
Phone (763) 308-8619
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 5206 | MN | Yes |
Addresses
Primary practice location
13045 Falcon Dr Ste 100
Baxter, MN 56425-4201
Mailing address
13045 Falcon Dr Ste 100
Baxter, MN 56425-4201
Phone (218) 829-9307
Other providers in Baxter, MN
- Brainerd Lakes Surgery Center L L C
- Brainerd Lakes Wellness, PC
- Brainerd Medical Center Inc
- Brainerd Medical Center Inc
- Brainerd Medical Center Inc
- Abigail Brashear
- Nicole Brattlund
- Breena Dell Clayton, OD
- Emily Breitling
- Randy Charles Brenny
All providers in Baxter, MN · Professional 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 Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.