Individual provider Active NPI

Brendan Sheehan, LPCC, LADC

  • Mental Health Counselor
  • Andover, MN
National Provider Identifier
1821690603
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC02082 Issued in MN
Practice address
1875 Station Pkwy NW
Andover, MN 55304-3319
Phone
(763) 390-9225
NPI assigned
Nov 16, 2020
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 303790 MN
Mental Health Counselor 101YM0800X CC02082 MN Primary

Addresses

Primary practice location

1875 Station Pkwy NW
Andover, MN 55304-3319

Mailing address

1875 Station Pkwy NW
Andover, MN 55304-3319
Phone (763) 390-9225

Other practice location 1

1404 Central Ave NE
Minneapolis, MN 55413-1517
Phone (763) 390-9225

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brendan.sheehan@nuway.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240223002531 MN Practitioner - Mental Health Counselor 9436509791 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303790MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rum River Counseling, Inc. CurrentSince Jan 9, 2024 Accepting new patients
Numa Psychotherapy PLLC CurrentSince Mar 20, 2025 Accepting new patients
Nuway Mental Health Clinic PastSince Nov 1, 2020 Accepting new patients

Locations

1875 Station Pkwy NW
Andover, MN 55304

11870 Ulysses St NE
Ste 200
Blaine, MN 55434
Phone (651) 485-5428

11090 183rd Cir NW
Ste A
Elk River, MN 55330
Phone (763) 691-3430

708 N 1st St
Ste 234
Minneapolis, MN 55401
Phone (612) 217-0451

7200 Hudson Blvd N
Ste 220
Oakdale, MN 55128

18205 45th Ave N
Ste D
Plymouth, MN 55446
Phone (214) 554-4089

1619 Dayton Ave
Ste 201
Saint Paul, MN 55104
Phone (651) 645-5504

Interoperability endpoints

  • Direct secure messaging: brendan.sheehan@nuway.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1821690603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 STATION PKWY NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043319",
            "telephone_number": "763-390-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 STATION PKWY NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043319",
            "telephone_number": "763-390-9225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 Central Ave NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554131517",
            "country_code": "US",
            "telephone_number": "763-390-9225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "BRENDAN",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303790",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brendan.sheehan@nuway.org",
            "affiliation": "N",
            "endpointDescription": "work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1404 Central Ave NE",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554131517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Andover, MN

Sources for this page

Verify at the official NPI Registry.