Active NPI
Margaret Susan Eide Bremer, MA, LPCC
- Professional Counselor
- St Louis Park, MN
National Provider Identifier
1689216855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2240
- Practice address
- 7601 Wayzata Blvd
St Louis Park, MN 55426-1623 - Phone
- (612) 223-8898
- Fax
- (612) 925-8496
- NPI assigned
- Oct 9, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2240 | MN | Primary |
Addresses
Primary practice location
7601 Wayzata Blvd
St Louis Park, MN 55426-1623
Mailing address
7601 Wayzata Blvd
St Louis Park, MN 55426-1623
Phone (612) 223-8898
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
800 Prairie Ctr Dr
Suite 210
Eden Prairie, MN 55344-7306
Phone (952) 234-9210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Clinics, LLC | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado PC | Past | Accepting new patients | |
| Associated Clinic of Psychology Inc | Past | Accepting new patients |
Locations
7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268
7601 Wayzata Blvd
St Louis Park, MN 55426
Phone (612) 223-8899
Organizations & group practices 6
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.
-
- Mental Health Counselor
- Eden Prairie, MN
- NPI 1275037277
-
- Psychologist
- St Louis Park, MN
- NPI 1851716245
-
- Clinical Psychologist
- Baxter, MN
- NPI 1124898556
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Louis Park, MN
- NPI 1588741292
-
- Psychologist
- Edina, MN
- NPI 1336967561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1689216855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 WAYZATA BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261623",
"telephone_number": "612-223-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 WAYZATA BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261623",
"telephone_number": "612-223-8898",
"fax_number": "612-925-8496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREMER",
"first_name": "MARGARET",
"middle_name": "SUSAN EIDE",
"credential": "MA, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "2240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.