Active NPI
George Brisse
- Marriage & Family Therapist
- Golden Valley, MN
National Provider Identifier
1629339544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2481
- Practice address
- 8401 Wayzata Blvd Ste 150
Golden Valley, MN 55426-1377 - Phone
- (763) 544-1006
- Fax
- (763) 544-1008
- NPI assigned
- Jun 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2481 | MN | Primary |
Addresses
Primary practice location
8401 Wayzata Blvd Ste 150
Golden Valley, MN 55426-1377
Mailing address
8401 Wayzata Blvd Ste 150
Golden Valley, MN 55426-1377
Phone (763) 544-1006
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2481 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoy & Associates Inc. | Current | Accepting new patients |
Locations
8401 Wayzata Blvd
Ste 150
Minneapolis, MN 55426
Phone (763) 544-1006
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Golden Valley, MN
- NPI 1831239003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705708800000",
"number": "1629339544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 WAYZATA BLVD STE 150",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554261377",
"telephone_number": "763-544-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 WAYZATA BLVD STE 150",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554261377",
"telephone_number": "763-544-1006",
"fax_number": "763-544-1008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISSE",
"first_name": "GEORGE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-06",
"last_updated": "2024-01-20",
"certification_date": "2024-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.