Breanna Hoffman Therapeutic Services

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BREANNA HOFFMAN THERAPEUTIC SERVICES

Doing business as

Breanna Hoffman Therapeutic Services

Practice address

4255 Pheasant Ridge Dr NE Ste 412
Blaine, MN 55449-5066

Phone

(763) 703-3755

NPI assigned

Apr 10, 2024

Last updated

Apr 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Breanna Hoffman, LMFTNPI 1053773010

Title

Ceo

Phone

(763) 670-3970

Specialties & licenses 1

Addresses

Other names 1

• Breanna Hoffman Therapeutic Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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.

• Breanna Michelle Hoffman, LMFT

  • Marriage & Family Therapist
  • Blaine, MN
  • NPI 1053773010
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1215780085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 130TH LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554487009",
            "telephone_number": "763-670-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 PHEASANT RIDGE DR NE STE 412",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495066",
            "telephone_number": "763-703-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREANNA HOFFMAN THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-670-3970",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breanna Hoffman Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Youssef Hossam Bondouk
• Bonfu Inc
• Cristelle Elise Boots, OD
• Jackie Lynn Bosshart, OTR/L
• Anna Boyd, PA-C
• Krista Renee Brenno, M.A., L.P.C., L.A.DC
• Ava Helen Brigham
• Kristin Broback, NP, C
• Robin Lynn Broen
• Melissa Brogger, MA LADC

• Marriage & Family Therapist in Blaine, MN
• Providers in Blaine, 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 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.