Rebekah Susan Brandvold, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1634 Issued in MN

Practice address

4900 Highway 169 N Ste 220
New Hope, MN 55428-4058

Phone

(612) 427-8197

Fax

(763) 762-6911

NPI assigned

Jan 26, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lineage CounselingGroup PAC ID 8426575887, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lineage Counseling

  • Marriage & Family Therapist
  • New Hope, MN
  • NPI 1669071528
  Medicare reassignment Care Compare group Authorized official
• John Ferguson Licsw LLC

  • Clinical Social Worker
  • Spring Lake Park, MN
  • NPI 1467696872
  NPD (past)

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1760620991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 HIGHWAY 169 N STE 220",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284058",
            "telephone_number": "612-716-6795",
            "fax_number": "763-786-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 HIGHWAY 169 N STE 220",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284058",
            "telephone_number": "612-427-8197",
            "fax_number": "763-762-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDVOLD",
        "first_name": "REBEKAH",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadlyn Cox Bourne, LPCC
• Joan Boyd, OTR/L
• Brad Delong Therapy, PLLC
• Katherine Brand
• Bennett Brandvold, MSW, LGSW
• Taylor Bridgeman
• Abigail Rose Brooks
• Alan Richard Brosseau, R.PH.
• James David Brown
• Michael Brown

• Marriage & Family Therapist in New Hope, MN
• Providers in New Hope, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.