Active NPI
Peter Miles Bruhn, LPC
- Mental Health Counselor
- Minneapolis, MN
National Provider Identifier
1255804803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 02315
- Practice address
- 2439 35TH Ave S
Minneapolis, MN 55406-1428 - Phone
- (612) 850-1811
- NPI assigned
- Jan 7, 2019
- Sex
- Male
- 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 | 02315 | MN | Primary |
Addresses
Primary practice location
2439 35TH Ave S
Minneapolis, MN 55406-1428
Mailing address
2439 35TH Ave S
Minneapolis, MN 55406-1428
Phone (612) 850-1811
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02315 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1255804803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2439 35TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061428",
"telephone_number": "612-850-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2439 35TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061428",
"telephone_number": "612-850-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUHN",
"first_name": "PETER",
"middle_name": "MILES",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-07",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "02315",
"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 May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.