Individual provider Active NPI

Virginia Fitch-Braun

  • Mental Health Counselor
  • Mahtomedi, MN
National Provider Identifier
1235770348
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
760 Stillwater Rd Suite 101
Mahtomedi, MN 55115-2809
Phone
(651) 800-1159
NPI assigned
Oct 1, 2019
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

760 Stillwater Rd Suite 101
Mahtomedi, MN 55115-2809

Mailing address

760 Stillwater Rd Suite 101
Mahtomedi, MN 55115
Phone (651) 800-1189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Dresden PSYD LP LLC CurrentSince Feb 7, 2021 Accepting new patients

Locations

760 Stillwater Rd
Ste 101
Saint Paul, MN 55115
Phone (651) 760-0866

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1235770348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 STILLWATER RD SUITE 101",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "55115",
            "telephone_number": "651-800-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 STILLWATER RD SUITE 101",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551152809",
            "telephone_number": "651-800-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH-BRAUN",
        "first_name": "VIRGINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahtomedi, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.