Individual provider Active NPI

Brian Robert Leet, LPCC

  • Mental Health Counselor
  • Cambridge, MN
National Provider Identifier
1609912765
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00231 Issued in MN
Practice address
31201 Polk St NE
Cambridge, MN 55008-6829
Phone
(612) 240-7497
Fax
(763) 689-5291
NPI assigned
Jan 29, 2007
Last updated
May 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00231 MN Primary

Addresses

Primary practice location

31201 Polk St NE
Cambridge, MN 55008-6829

Mailing address

31201 Polk St NE
Cambridge, MN 55008-6829
Phone (612) 240-7497

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
00231MNMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1609912765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31201 POLK ST NE",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550086829",
            "telephone_number": "612-240-7497",
            "fax_number": "763-689-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31201 POLK ST NE",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550086829",
            "telephone_number": "612-240-7497",
            "fax_number": "763-689-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEET",
        "first_name": "BRIAN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "00231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.