Individual provider Active NPI

Brianna Rae Nzara, LMFT

  • Marriage & Family Therapist
  • Willmar, MN
National Provider Identifier
1619620861
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4280 Issued in MN
Practice address
2320 Highway 12 E Ste 2
Willmar, MN 56201-5811
Phone
(320) 905-8653
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4280 MN Primary

Addresses

Primary practice location

2320 Highway 12 E Ste 2
Willmar, MN 56201-5811

Mailing address

2320 Highway 12 E Ste 2
Willmar, MN 56201-5811
Phone (320) 905-8653

Other practice location 1

2120 Park Ave
Minneapolis, MN 55404-3378
Phone (651) 774-0011

Other names 1

  • Brianna Rae Snoddy Former name

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
I20240111000184 MN Practitioner - Marriage and Family Therapist 0941651202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
People Incorporated CurrentSince Jan 1, 2024 Accepting new patients
People Incorporated CurrentSince Jan 1, 2024 Accepting new patients
Greater Minnesota Family Services CurrentSince Feb 1, 2022 Accepting new patients

Locations

2120 Park Ave
Minneapolis, MN 55404
Phone (612) 872-2000

5555 Boone Ave N
New Hope, MN 55428
Phone (763) 331-3033

3000 Ames Crossing Rd
Ste 600
Saint Paul, MN 55121
Phone (651) 288-3467

317 York Ave
Saint Paul, MN 55130
Phone (651) 771-0286

2320 Highway 12 E
Ste 2
Willmar, MN 56201
Phone (320) 214-9692

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1619620861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 HIGHWAY 12 E STE 2",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015811",
            "telephone_number": "320-905-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 HIGHWAY 12 E STE 2",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015811",
            "telephone_number": "320-905-8653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554043378",
            "country_code": "US",
            "telephone_number": "651-774-0011",
            "fax_number": "651-774-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NZARA",
        "first_name": "BRIANNA",
        "middle_name": "RAE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "SNODDY",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willmar, MN

Sources for this page

Verify at the official NPI Registry.