Active NPI
Megan Rustad, LPC
- Professional Counselor
- New Brighton, MN
National Provider Identifier
1497467906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 03276
- Practice address
- 1403 Silver Lake Rd NW Ste 2
New Brighton, MN 55112-9308 - Phone
- (763) 443-3513
- NPI assigned
- Dec 15, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 03276 | MN | Primary |
Addresses
Primary practice location
1403 Silver Lake Rd NW Ste 2
New Brighton, MN 55112-9308
Mailing address
1403 Silver Lake Rd NW Ste 2
New Brighton, MN 55112-9308
Phone (763) 443-3513
Other practice location 1
7362 University Ave NE Ste 307
Fridley, MN 55432-3150
Phone (952) 546-4044
Other names 1
- Megan Bradley
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 |
|---|---|---|---|
| 03276 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Based Therapy Associates | Mental Health | Current | Accepting new patients |
| Family Based Therapy Associates | Past | Accepting new patients |
Locations
199 Coon Rapids Blvd NW
Ste 306
Minneapolis, MN 55433
Phone (763) 780-1520
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Coon Rapids, MN
- NPI 1194762005
-
- Community/Behavioral Health Agency
- Chisago City, MN
- NPI 1891100293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780704000000",
"number": "1497467906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 SILVER LAKE RD NW STE 2",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551129308",
"telephone_number": "763-443-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 SILVER LAKE RD NW STE 2",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551129308",
"telephone_number": "763-443-3513"
}
],
"practiceLocations": [
{
"address_1": "7362 University Ave NE Ste 307",
"address_purpose": "LOCATION",
"city": "Fridley",
"state": "MN",
"postal_code": "554323150",
"country_code": "US",
"telephone_number": "952-546-4044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSTAD",
"first_name": "MEGAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-15",
"last_updated": "2026-06-06",
"certification_date": "2026-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "03276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "BRADLEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Brighton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.