Individual provider Active NPI

Brandon Paul Stenzel, M.A., L.P.C.C.

  • Professional Counselor
  • Hibbing, MN
National Provider Identifier
1609472984
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC02680 Issued in MN
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240502001346 MN Practitioner - Mental Health Counselor 0345680732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC02680MNMDProfessional Counselor
2680MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Waters Counseling & Psychological Services PLLC CurrentSince Aug 1, 2025 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.

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

Verify at the official NPI Registry.