Individual provider Active NPI

Ondrea Lee Bryans, MS LMFT

  • Marriage & Family Therapist
  • Plymouth, MN
National Provider Identifier
1275124117
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2036-124 Issued in WI
Practice address
18205 45TH Ave N Ste D
Plymouth, MN 55446-4594
Phone
(763) 482-9598
Fax
(612) 235-6447
NPI assigned
Feb 2, 2021
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4518 MN
Marriage & Family Therapist 106H00000X 2036-124 WI Primary

Addresses

Primary practice location

18205 45TH Ave N Ste D
Plymouth, MN 55446-4594

Mailing address

1875 Station Pkwy NW
Andover, MN 55304-3319
Phone (763) 482-9598

Other practice location 1

1875 Station Pkwy NW
Andover, MN 55304-3319
Phone (763) 482-9598

Other names 1

  • Ondrea Lee Oxborrow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304002512 MN Practitioner - Marriage and Family Therapist 7911342662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Rum River Counseling, IncGroup PAC ID 0941661482, 20 clinicians
Solutions Counseling Services PLLCGroup PAC ID 3971779356, 6 clinicians

Practice addresses (Care Compare)

1875 Station Pkwy NW
Andover, MN 55304-4259
Phone (763) 482-9598

703 Thielen Dr
Saint Michael, MN 55376-9613
Phone (763) 515-4563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2036-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rum River Counseling, Inc. Marriage & Family Therapist CurrentSince Jan 20, 2024 Accepting new patients
Family Therapy Associates, LLC PastSince Feb 12, 2025 Accepting new patients

Locations

1875 Station Pkwy NW
Andover, MN 55304

7200 Hudson Blvd N
Ste 220
Oakdale, MN 55128

18205 45th Ave N
Ste D
Plymouth, MN 55446
Phone (214) 554-4089

1619 Dayton Ave
Ste 201
Saint Paul, MN 55104
Phone (651) 645-5504

Organizations & group practices 3

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1275124117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 STATION PKWY NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043319",
            "telephone_number": "763-482-9598",
            "fax_number": "612-235-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 45TH AVE N STE D",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464594",
            "telephone_number": "763-482-9598",
            "fax_number": "612-235-6447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 Station Pkwy NW",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MN",
            "postal_code": "553043319",
            "country_code": "US",
            "telephone_number": "763-482-9598",
            "fax_number": "612-235-6447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANS",
        "first_name": "ONDREA",
        "middle_name": "LEE",
        "credential": "MS LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4518",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "2036-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ONDREA",
            "last_name": "OXBORROW",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.