Individual provider Active NPI

Brooke D Nielsen, LMFT

  • Marriage & Family Therapist
  • Stillwater, MN
National Provider Identifier
1851497606
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1456 Issued in MN
Practice address
5995 Oren Ave N Ste 209
Stillwater, MN 55082-6777
Phone
(612) 243-6864
Fax
(888) 649-3179
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1456 MN Primary

Addresses

Primary practice location

5995 Oren Ave N Ste 209
Stillwater, MN 55082-6777

Mailing address

5995 Oren Ave N Ste 209
Stillwater, MN 55082-6777
Phone (612) 243-6864

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
I20240227003438 MN Practitioner - Marriage and Family Therapist 5092150276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Rush IncGroup PAC ID 8224131750, 19 clinicians

Practice addresses (Care Compare)

1751 Tower Dr W
Suite 200
Stillwater, MN 55082-7596
Phone (651) 439-2059

5995 Oren Ave N
Suite 209
Stillwater, MN 55082-6777
Phone (651) 243-6864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Inc CurrentSince Jan 14, 2024 Accepting new patients
Nielsen Inc CurrentSince Feb 18, 2025 Accepting new patients

Locations

5995 Oren Ave N
Ste 209
Stillwater, MN 55082
Phone (612) 243-6864

1751 Tower Dr W
Ste 200
Stillwater, MN 55082
Phone (651) 439-2059

Organizations & group practices 2

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1851497606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 OREN AVE N STE 209",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826777",
            "telephone_number": "612-243-6864",
            "fax_number": "888-649-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 OREN AVE N STE 209",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826777",
            "telephone_number": "612-243-6864",
            "fax_number": "888-649-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "BROOKE",
        "middle_name": "D",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

Verify at the official NPI Registry.