Active NPI
Breanna Herbst Counseling
- Community/Behavioral Health Agency
- North Branch, MN
National Provider Identifier
1528491222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LPCC000556
- Legal business name
- BREANNA HERBST COUNSELING
- Practice address
- 35624 Lincoln Rd
North Branch, MN 55056-5789 - Phone
- (651) 274-6674
- NPI assigned
- Aug 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Breanna Herbst Herbst, LPCC
- Title
- Owner/ Psychotherapist
- Phone
- (651) 274-6674
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LPCC000556 | MN | Primary |
Addresses
Primary practice location
35624 Lincoln Rd
North Branch, MN 55056-5789
Mailing address
35624 Lincoln Rd
North Branch, MN 55056-5789
Phone (651) 274-6674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477795615 | Other | MN | INDIVIDUAL NPI # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Forest Lake, MN
- NPI 1477795615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376611200000",
"number": "1528491222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35624 LINCOLN RD",
"city": "NORTH BRANCH",
"state": "MN",
"postal_code": "550565789",
"telephone_number": "651-274-6674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35624 LINCOLN RD",
"city": "NORTH BRANCH",
"state": "MN",
"postal_code": "550565789",
"telephone_number": "651-274-6674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREANNA HERBST COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-16",
"last_updated": "2013-08-16",
"status": "A",
"authorized_official_last_name": "HERBST",
"authorized_official_first_name": "BREANNA",
"authorized_official_middle_name": "HERBST",
"authorized_official_title_or_position": "OWNER/ PSYCHOTHERAPIST",
"authorized_official_telephone_number": "651-274-6674",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "LPCC000556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI #",
"identifier": "1477795615",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Branch, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.