Active NPI
Breanna M Erickson, LPCC
- Professional Counselor
- Hudson, WI
National Provider Identifier
1700544855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3044
- Practice address
- 405 Stageline Rd
Hudson, WI 54016-7848 - Phone
- (612) 339-3663
- NPI assigned
- Dec 6, 2021
- 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 | 3044 | MN | Primary |
Addresses
Primary practice location
405 Stageline Rd
Hudson, WI 54016-7848
Mailing address
886 100TH Ave
Roberts, WI 54023-7602
Phone (651) 408-4317
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 |
|---|---|---|---|
| 3044 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1700544855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 100TH AVE",
"city": "ROBERTS",
"state": "WI",
"postal_code": "540237602",
"telephone_number": "651-408-4317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 STAGELINE RD",
"city": "HUDSON",
"state": "WI",
"postal_code": "540167848",
"telephone_number": "612-339-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "BREANNA",
"middle_name": "M",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-06",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "3044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.