Active NPI
Anita Marie Breuer, LPCC
- Professional Counselor
- Minneapolis, MN
National Provider Identifier
1467607242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5706
- Practice address
- 621 W Lake St Ste 350
Minneapolis, MN 55408-2952 - Phone
- (612) 979-2276
- NPI assigned
- Nov 20, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P2504014 | AR | |
| Professional Counselor | 101YP2500X | 5706 | MN | Primary |
| Professional Counselor | 101YP2500X | LPC.0014271 | CO |
Addresses
Primary practice location
621 W Lake St Ste 350
Minneapolis, MN 55408-2952
Mailing address
621 W Lake St Ste 350
Minneapolis, MN 55408-2952
Phone (612) 979-2276
Other names 1
- Anita Marie Madakasira
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1467607242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 W LAKE ST STE 350",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082952",
"telephone_number": "612-979-2276",
"fax_number": "651-925-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 W LAKE ST STE 350",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082952",
"telephone_number": "612-979-2276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREUER",
"first_name": "ANITA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-20",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2504014",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "5706",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0014271",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "MADAKASIRA",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 31, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.