Individual provider Active NPI

Brittni Carlson, LADC, LPCC

  • Addiction (Substance Use Disorder) Counselor
  • Minneapolis, MN
National Provider Identifier
1689313488
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
306259 Issued in MN
Practice address
5346 Lyndale Ave S
Minneapolis, MN 55419-1230
Phone
(651) 262-1416
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC044408 MN
Addiction (Substance Use Disorder) Counselor 101YA0400X 306259 MN Primary

Addresses

Primary practice location

5346 Lyndale Ave S
Minneapolis, MN 55419-1230

Mailing address

4627 4TH St NE
Columbia Heights, MN 55421-2244
Phone (612) 483-1599

Other names 1

  • Brittni Kordonowy 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
I20240708001186 MN Practitioner - Mental Health Counselor 0042754624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uptown Center for Psychotherapy, LTDGroup PAC ID 9133614621, 2 clinicians
Eagan Counseling ClinicGroup PAC ID 2860304045, 62 clinicians

Practice addresses (Care Compare)

2908 Humboldt Ave S
Suite 5
Minneapolis, MN 55408-1953
Phone (612) 367-7533

3450 Oleary LN
Eagan, MN 55123-2340
Phone (651) 454-0114

5346 Lyndale Ave S
Minneapolis, MN 55419-1230
Phone (612) 746-5888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306259MNMDAddiction (Substance Use Disorder) Counselor
CC044408MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Center for Psychotherapy LTD CurrentSince Jan 1, 2026 Accepting new patients

Locations

2908 Humboldt Ave S
Ste 5
Minneapolis, MN 55408
Phone (612) 367-7533

Interoperability endpoints

  • Direct secure messaging: brittni.kordonowyladc.p21@direct.painphysicians.nextgenshare.com

Organizations & group practices 2

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1689313488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 4TH ST NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212244",
            "telephone_number": "612-483-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5346 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191230",
            "telephone_number": "651-262-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "BRITTNI",
        "credential": "LADC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC044408",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTNI",
            "last_name": "KORDONOWY",
            "credential": "LADC, LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.