Nichole Marie Brua, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5488 Issued in MN

Practice address

5125 County Road 101 Ste 300
Minnetonka, MN 55345-4157

Phone

(952) 932-7277

Fax

(952) 932-9827

NPI assigned

Mar 22, 2021

Last updated

Mar 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Relate Inc

  dba Relate

  • Community/Behavioral Health Agency
  • Minnetonka, MN
  • NPI 1053486902
  NPD
• Behavioral Dimensions, Inc.

  • Cognitive & Behavioral Psychologist
  • St Louis Park, MN
  • NPI 1831236785
  NPD (past)

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1619553559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 COUNTY ROAD 101 STE 300",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454157",
            "telephone_number": "952-932-7277",
            "fax_number": "952-932-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 COUNTY ROAD 101 STE 300",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454157",
            "telephone_number": "952-932-7277",
            "fax_number": "952-932-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUA",
        "first_name": "NICHOLE",
        "middle_name": "MARIE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306840",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "5488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Brown
• Patrick Brown, M.ED
• Sandra M Brown, NP
• Shaquana Latoya Brown, NP
• Ryan Tyler Brownen
• Jordan Bruestle
• Lauren Rachel Brull
• Charlene Marie Brush, ARNP
• Anne K Brutlag, MD
• Sara Marie Bryan, PT

• Professional Counselor in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.