Individual provider Active NPI

Ashley Brauer, PHD

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1750994547
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP6810 Issued in MN
Practice address
310 4TH Ave S
Suite 5010 PMB 92562
Minneapolis, MN 55415-1053
Phone
(612) 268-2493
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 02392401 NY
Psychologist 103T00000X 115546 IA
Psychologist 103T00000X LP6810 MN Primary

Addresses

Primary practice location

310 4TH Ave S
Suite 5010 PMB 92562
Minneapolis, MN 55415-1053

Mailing address

310 4TH Ave S
Suite 5010 PMB 92562
Minneapolis, MN 55415-1053
Phone (612) 268-2493

Other practice location 1

231 W Lockwood Ave Ste 202
Saint Louis, MO 63119-2951
Phone (877) 312-1467

Other identifiers 4

IdentifierTypeStateIssuer
2019037969OtherMOPROVISIONAL LICENSE NUMBER (MO)
02392401OtherNYLICENSE NUMBER
115546OtherIALICENSE NUMBER
LP6810OtherMNLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 27, 2025 through Oct 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
115546IAMDPsychologist
LP6810MNMDPsychologist
02392401NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brauer Health LLC Current Accepting new patients

Locations

310 4th Ave S
Ste 5010
Minneapolis, MN 55415
Phone (320) 492-2232

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1750994547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 4TH AVE S",
            "address_2": "SUITE 5010 PMB 92562",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151053",
            "telephone_number": "612-268-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 4TH AVE S",
            "address_2": "SUITE 5010 PMB 92562",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151053",
            "telephone_number": "612-268-2493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 W Lockwood Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631192951",
            "country_code": "US",
            "telephone_number": "877-312-1467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUER",
        "first_name": "ASHLEY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "02392401",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "115546",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP6810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVISIONAL LICENSE NUMBER (MO)",
            "identifier": "2019037969",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "02392401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "115546",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "LP6810",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.