Active NPI
Virginia Fitch-Braun
- Mental Health Counselor
- Mahtomedi, MN
National Provider Identifier
1235770348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 760 Stillwater Rd Suite 101
Mahtomedi, MN 55115-2809 - Phone
- (651) 800-1159
- NPI assigned
- Oct 1, 2019
- Last updated
- Feb 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica Dresden PSYD LP LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mahtomedi, MN
- NPI 1609421510
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.