Active NPI
Brianna Weiland
- Professional Counselor
- Shakopee, MN
National Provider Identifier
1295270817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC01417
- Practice address
- 200 4TH Ave W Ste 300
Shakopee, MN 55379-1220 - Phone
- (952) 445-7751
- NPI assigned
- Jan 5, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC01417 | MN | Primary |
Addresses
Primary practice location
200 4TH Ave W Ste 300
Shakopee, MN 55379-1220
Mailing address
200 4TH Ave W Ste 300
Shakopee, MN 55379-1220
Phone (612) 910-1956
Other practice location 1
6425 Nicollet Ave
Richfield, MN 55423-1675
Phone (612) 861-1675
Other practice location 2
701 Decatur Ave N
Golden Valley, MN 55427-4367
Phone (612) 910-1956
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 |
|---|---|---|---|
| CC01417 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1295270817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 4TH AVE W STE 300",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553791220",
"telephone_number": "612-910-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 4TH AVE W STE 300",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553791220",
"telephone_number": "952-445-7751"
}
],
"practiceLocations": [
{
"address_1": "6425 Nicollet Ave",
"address_purpose": "LOCATION",
"city": "Richfield",
"state": "MN",
"postal_code": "554231675",
"country_code": "US",
"telephone_number": "612-861-1675",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Decatur Ave N",
"address_purpose": "LOCATION",
"city": "Golden Valley",
"state": "MN",
"postal_code": "554274367",
"country_code": "US",
"telephone_number": "612-910-1956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEILAND",
"first_name": "BRIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC01417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.