Bradley Allen Fern, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1562 Issued in MN

Practice address

1320 S Frontage Rd
Hastings, MN 55033-2684

Phone

(651) 500-1466

NPI assigned

Jul 12, 2013

Sex

Male

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Fern Counseling PLLC

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1790356186
  Medicare reassignment NPD

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1891136289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 EWING AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101053",
            "telephone_number": "612-226-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S FRONTAGE RD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332684",
            "telephone_number": "651-500-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERN",
        "first_name": "BRADLEY",
        "middle_name": "ALLEN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Douglas Fairbanks, DO
• Faith Family Recovery Center LLC
• Jean A Falkavage, AU D
• Angela Carol Faulkner, M.D.
• Christopher Lee Fehl, LADC
• Stephanie Flom
• Dustin Fore, PSYD
• Jeffrey John Fox, DDS
• Katie Freeman
• Karyl Leanne Frye, M.S., LMFT

• Marriage & Family Therapist in Hastings, MN
• Providers in Hastings, 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 Jul 12, 2013; 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.