Brent Andrew Haagenson, PSYD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP6725 Issued in MN

Practice address

7582 Currell Blvd Ste 208
Woodbury, MN 55125-2471

Phone

(651) 262-5475

NPI assigned

Oct 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Natalis Counseling and Psychology Solutions, P.a.Group PAC ID 5193756104, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Natalis Counseling and Psychology Solutions, P.a.

  • Psychologist
  • Saint Paul, MN
  • NPI 1447369673
  Medicare reassignment Care Compare group NPD
• Counseling Psychologists of Woodbury, P.a.

  • Psychologist
  • Woodbury, MN
  • NPI 1659301398

  Clinical

  NPD

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1376206664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 ADAMS ST NE # 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132144",
            "telephone_number": "612-720-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7582 CURRELL BLVD STE 208",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252471",
            "telephone_number": "651-262-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAGENSON",
        "first_name": "BRENT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6725",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP6725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brady Gustafson
• Erica Lee Gustafson, PT
• Dallas Guyot
• Minh Q Ha
• John Michael Haag, DDS
• Aleigha Rae Anne Haase, CCC-SLP
• Daniela Haase
• Carolyn Rose Haberman, M.A., L.P.C.C.
• Elizabeth Kay Habiger
• Getachew T Habtemariam

• Counseling Psychologist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.