Individual provider Active NPI

Megan Rustad, LPC

  • Professional Counselor
  • New Brighton, MN
National Provider Identifier
1497467906
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
03276 Issued in MN
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

Updated by the provider on Jun 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
03276MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Based Therapy Associates Mental Health CurrentSince Dec 18, 2022 Accepting new patients
Family Based Therapy Associates PastSince Dec 18, 2022 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.

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.

Verify at the official NPI Registry.