Stephanie Brey, LPCC – Mental Health Counselor

Key facts

NPI: 1366070070
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: CC02329 (MN)
Practice address: 10990 95TH St NE
Otsego, MN 55362-8149
Phone: (763) 329-7195
Fax: (952) 448-6047
NPI assigned: Mar 29, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Northstar Regional Substance Use Disorder Rehabilitation Clinic/Center · Chaska, MN · NPI 1659764587

Medicare reassignment NPD MN
Northstar Regional Clinical Medical Laboratory · Shakopee, MN · NPI 1508349234

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240213001804	MN	Practitioner - Mental Health Counselor	6305289752	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Northstar Regional		Current since Feb 1, 2024	Accepting new patients
Northstar Regional		Current	Accepting new patients

Locations

1045 Stoughton Ave
Chaska, MN 55318
Phone (952) 448-6557

10990 95th St NE
Otsego, MN 55362
Phone (763) 329-7195

500 Marschall Rd
Ste 300
Shakopee, MN 55379
Phone (952) 448-6557

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	CC02329	MN	Yes

Addresses

Primary practice location

10990 95TH St NE
Otsego, MN 55362-8149

Mailing address

500 Marschall Rd Ste 300
Shakopee, MN 55379-2690
Phone (952) 856-3932

Other providers in Otsego, MN

All providers in Otsego, MN · Mental Health Counselor in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.