Brittany Squillace, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3550 Issued in MN

Practice address

14022 Bluebird TRL NE
Prior Lake, MN 55372-1297

Phone

(612) 564-3852

NPI assigned

Jan 18, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1801485495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553720022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14022 BLUEBIRD TRL NE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721297",
            "telephone_number": "612-564-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUILLACE",
        "first_name": "BRITTANY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsquillace@bestselftherapy.net",
            "affiliation": "N",
            "address_1": "14022 Bluebird Trl NE",
            "city": "Prior Lake",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553721297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Annmarie Sowieja
• Jared S Spencer
• Spratt Chiropractic, PLLC
• Todd J. Spratt, D.C.
• Jessica Lynn Spurrier
• Paul Anthony Stahler, MD
• Michele Schueller Stapf, D.C.
• Stay at Home Care LLC
• Gerri Stegeman, PHARMD
• Cole Steven Steinhagen, DC

• Marriage & Family Therapist in Prior Lake, MN
• Providers in Prior Lake, 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 18, 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.

Verify at the official NPI Registry.