Lauri Ann Brunello, MA, LPCC

Individual provider Active NPI Professional Counselor · Oakdale, MN

NPI 1831574672 · NPPES record last updated Dec 23, 2022

Key facts

NPI
1831574672
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
CC00583 (MN)
Practice address
3503 Highpoint Dr N Ste 230
Oakdale, MN 55128-7577
Phone
(612) 440-2939
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
303789MNMDAddiction (Substance Use Disorder) Counselor
CC00583MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LW Counseling, LLC Professional Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 303789 MN
Professional Counselor 101YP2500X CC00583 MN Yes

Addresses

Primary practice location

3503 Highpoint Dr N Ste 230
Oakdale, MN 55128-7577

Mailing address

3503 Highpoint Dr N Ste 230
Oakdale, MN 55128-7577
Phone (612) 440-2939

Other practice location 1

3706 Grand Ave S Apt 2
Minneapolis, MN 55409-1140
Phone (612) 440-2939

Other names

  • Lauri Ann Weickert Former name

Other providers in Oakdale, MN

All providers in Oakdale, MN · Professional Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.