Active NPI
Brian James Zetah, LPCC, LADC
- Mental Health Counselor
- Minneapolis, MN
National Provider Identifier
1386235232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC02718
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 305260 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| CC02718 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Resources for Education Alternative Treatments & Evaluation | Addiction (Substance Use Disorder) | Current | 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.
-
- Addiction (Substance Use Disorder) Counselor
- Minneapolis, MN
- NPI 1336212653
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.