Brogan Renee Evenstad, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC03014 Issued in MN

Practice address

300 1St Street NW
Suite 210
Rochester, MN 55901

Phone

(651) 233-3091

NPI assigned

Dec 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Onward Counseling PLLC

  • Mental Health Counselor
  • Rochester, MN
  • NPI 1063009165
  NPD
• Sheila M. Daley, PLC

  • Psychologist
  • Rochester, MN
  • NPI 1003359050
  NPD

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1699362145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 1ST AVE NW STE 210",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012830",
            "telephone_number": "651-233-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 1ST STREET NW",
            "address_2": "SUITE 210",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55901",
            "telephone_number": "651-233-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENSTAD",
        "first_name": "BROGAN",
        "middle_name": "RENEE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Evans, DPT
• Bruce A. Evans, M.D.
• Michele M Evans, RN
• Titus Carr Evans Jr., M.D.
• Whitney Evans
• Evergreen Therapy and Wellness PLLC
• Alyssa Diane Eversman, PT, DPT
• Narjis A Eversman, APRN, CRNA
• Devon A Everson, CRNA
• Everyday Hope Counseling, PLLC

• Mental Health Counselor in Rochester, MN
• Providers in Rochester, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.