Active NPI
Brent Richter, L.P.C.
- Professional Counselor
- Maple Grove, MN
National Provider Identifier
1699073528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 00992
- Practice address
- 7218 Forestview LN N
Suite 107
Maple Grove, MN 55369-5644 - Phone
- (763) 274-4028
- Fax
- (763) 322-8854
- NPI assigned
- Mar 1, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 00992 | MN | Primary |
| Psychoanalyst | 102L00000X |
Addresses
Primary practice location
7218 Forestview LN N
Suite 107
Maple Grove, MN 55369-5644
Mailing address
7218 Forestview LN N
Suite 107
Maple Grove, MN 55369-5644
Phone (763) 274-4028
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 |
|---|---|---|---|
| 00992 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brent Richter Consulting, LLC | Past | Accepting new patients |
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.
-
- Adult Mental Health Clinic/Center
- Maple Grove, MN
- NPI 1124370986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1699073528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7218 FORESTVIEW LN N",
"address_2": "SUITE 107",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695644",
"telephone_number": "763-274-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7218 FORESTVIEW LN N",
"address_2": "SUITE 107",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695644",
"telephone_number": "763-274-4028",
"fax_number": "763-322-8854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHTER",
"first_name": "BRENT",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-01",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "00992",
"primary": true
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.