Active NPI
Brandon Paul Stenzel, M.A., L.P.C.C.
- Professional Counselor
- Hibbing, MN
National Provider Identifier
1609472984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC02680
- Practice address
- 2900 E Beltline Ste 16
Hibbing, MN 55746-2345 - Phone
- (218) 969-9796
- Fax
- (218) 263-6789
- NPI assigned
- Dec 10, 2020
- Last updated
- Apr 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2680 | MN | |
| Professional Counselor | 101YP2500X | CC02680 | MN | Primary |
Addresses
Primary practice location
2900 E Beltline Ste 16
Hibbing, MN 55746-2345
Mailing address
109 Donovan Dr
Grand Rapids, MN 55744-4128
Phone (651) 564-1075
Other practice location 1
109 Donovan Dr
Grand Rapids, MN 55744-4128
Phone (651) 564-1075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC02680 | MN | MD | Professional Counselor |
| 2680 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Waters Counseling & Psychological Services PLLC | Current | Accepting new patients |
Locations
201 NW 4th St
Ste 3
Grand Rapids, MN 55744
Phone (218) 259-7797
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Grand Rapids, MN
- NPI 1114819935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1609472984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 DONOVAN DR",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557444128",
"telephone_number": "651-564-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 E BELTLINE STE 16",
"city": "HIBBING",
"state": "MN",
"postal_code": "557462345",
"telephone_number": "218-969-9796",
"fax_number": "218-263-6789"
}
],
"practiceLocations": [
{
"address_1": "109 Donovan Dr",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MN",
"postal_code": "557444128",
"country_code": "US",
"telephone_number": "651-564-1075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STENZEL",
"first_name": "BRANDON",
"middle_name": "PAUL",
"credential": "M.A., L.P.C.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-10",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "2680",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC02680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.