Individual provider Active NPI

Catherine Jean Brightman, MA, LADC, LPCC

  • Professional Counselor
  • Cottage Grove, MN
National Provider Identifier
1891207254
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1647 Issued in MN
Practice address
6936 Pine Arbor Dr S Ste 200
Cottage Grove, MN 55016-4672
Phone
(651) 461-2903
Fax
(651) 461-2904
NPI assigned
Oct 25, 2017
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 304443 MN
Mental Health Counselor 101YM0800X 01647 MN
Professional Counselor 101YP2500X 1647 MN Primary

Addresses

Primary practice location

6936 Pine Arbor Dr S Ste 200
Cottage Grove, MN 55016-4672

Mailing address

6936 Pine Arbor Dr S Ste 200
Cottage Grove, MN 55016-4672
Phone (651) 461-2903

Other practice location 1

700 Commerce Dr Ste 260
Woodbury, MN 55125-9243
Phone (651) 328-6288

Other practice location 2

5798 Blackshire Path
Inver Grove Heights, MN 55076-1622
Phone (651) 261-0140

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://groundedrootscounseling.secure-client-area.com/portal/

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
I20240228000121 MN Practitioner - Mental Health Counselor 9133564347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

6936 Pine Arbor Dr S
Suite 200
Cottage Grove, MN 55016-4672
Phone (651) 461-2903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
304443MNMDAddiction (Substance Use Disorder) Counselor
01647MNMDMental Health Counselor
1647MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grounded Roots Counseling & Yoga, PLLC Current Accepting new patients
Nystrom & Associates, LTD CurrentSince Jan 1, 2024 Accepting new patients

Locations

6936 Pine Arbor Dr S
Ste 200
Cottage Grove, MN 55016
Phone (651) 461-2903

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

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, 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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1891207254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6936 PINE ARBOR DR S STE 200",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164672",
            "telephone_number": "651-461-2903",
            "fax_number": "651-461-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 PINE ARBOR DR S STE 200",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164672",
            "telephone_number": "651-461-2903",
            "fax_number": "651-461-2904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Commerce Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551259243",
            "country_code": "US",
            "telephone_number": "651-328-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5798 Blackshire Path",
            "address_purpose": "LOCATION",
            "city": "Inver Grove Heights",
            "state": "MN",
            "postal_code": "550761622",
            "country_code": "US",
            "telephone_number": "651-261-0140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGHTMAN",
        "first_name": "CATHERINE",
        "middle_name": "JEAN",
        "credential": "MA, LADC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304443",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "01647",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://groundedrootscounseling.secure-client-area.com/portal/",
            "affiliation": "N",
            "endpointDescription": "Client portal",
            "address_1": "5798 Blackshire Path",
            "city": "Inver Grove Heights",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550761622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

Verify at the official NPI Registry.