Individual provider Active NPI

Bryn Hennessy, MA, LPC

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1255243317
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
03365 Issued in MN
Practice address
4749 Chicago Ave Ste 2B
Minneapolis, MN 55407-4181
Phone
(612) 460-8816
Fax
(888) 655-4514
NPI assigned
Sep 22, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 03365 MN Primary

Addresses

Primary practice location

4749 Chicago Ave Ste 2B
Minneapolis, MN 55407-4181

Mailing address

4749 Chicago Ave Ste 2B
Minneapolis, MN 55407-4181
Phone (612) 460-8816

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1255243317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 CHICAGO AVE STE 2B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074181",
            "telephone_number": "612-460-8816",
            "fax_number": "888-655-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 CHICAGO AVE STE 2B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074181",
            "telephone_number": "612-460-8816",
            "fax_number": "888-655-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "BRYN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "03365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.