Active NPI
Shannon Ariel Gullette Eue, LPCC
- Mental Health Counselor
- Brooklyn Center, MN
National Provider Identifier
1487530440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2365
- Practice address
- 6120 Earle Brown Dr Ste 100
Brooklyn Center, MN 55430-4100 - Phone
- (763) 537-6612
- Fax
- (763) 537-7162
- NPI assigned
- Aug 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2365 | MN | Primary |
Addresses
Primary practice location
6120 Earle Brown Dr Ste 100
Brooklyn Center, MN 55430-4100
Mailing address
6120 Earle Brown Dr Ste 100
Brooklyn Center, MN 55430-4100
Phone (612) 454-9533
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 |
|---|---|---|---|
| 2365 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1487530440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6120 EARLE BROWN DR STE 100",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554304100",
"telephone_number": "612-454-9533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 EARLE BROWN DR STE 100",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554304100",
"telephone_number": "763-537-6612",
"fax_number": "763-537-7162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLETTE EUE",
"first_name": "SHANNON",
"middle_name": "ARIEL",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-14",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "2365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.