Individual provider Active NPI

Brian James Zetah, LPCC, LADC

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1386235232
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC02718 Issued in MN
Practice address
2200 E Franklin Ave Ste 200a
Minneapolis, MN 55404-2395
Phone
(612) 874-9811
Fax
(612) 874-9820
NPI assigned
Feb 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC02718 MN Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 305260 MN

Addresses

Primary practice location

2200 E Franklin Ave Ste 200a
Minneapolis, MN 55404-2395

Mailing address

2200 E Franklin Ave Ste 200a
Minneapolis, MN 55404-2395
Phone (612) 874-9811

Other practice location 1

7275 147th St W Ste 105
Apple Valley, MN 55124-7809
Phone (612) 874-9811 ext. 232

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

LicenseStateTypeSpecialty
305260MNMDAddiction (Substance Use Disorder) Counselor
CC02718MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Resources for Education Alternative Treatments & Evaluation Addiction (Substance Use Disorder) CurrentSince Feb 6, 2022 Accepting new patients

Locations

2200 E Franklin Ave
Ste 200A
Minneapolis, MN 55404
Phone (612) 874-9811

Organizations & group practices 1

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.

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": "1613952000000",
    "number": "1386235232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E FRANKLIN AVE STE 200A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042395",
            "telephone_number": "612-874-9811",
            "fax_number": "612-874-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E FRANKLIN AVE STE 200A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042395",
            "telephone_number": "612-874-9811",
            "fax_number": "612-874-9820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7275 147th St W Ste 105",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551247809",
            "country_code": "US",
            "telephone_number": "612-874-9811 x232",
            "fax_number": "612-874-9820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZETAH",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02718",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305260",
            "primary": false
        }
    ],
    "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 Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.