Brittany a Phelps LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Saint Joseph, MN
NPI 1922777929 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1922777929
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- BRITTANY A PHELPS LLC
- Practice address
- 1511 E Minnesota St
Saint Joseph, MN 56374-8618 - Phone
- (320) 237-7874
- NPI assigned
- Sep 13, 2021
- Organization subpart
- No
Authorized official
- Name
- Brittany Ann Phelps, MS LMFT
- Title
- Marriage and Family Therapist/Owner
- Phone
- (320) 237-7874
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241003003228 | MN | Part B Supplier - Clinic/Group Practice | 6507397395 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Joseph, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
1511 E Minnesota St
Saint Joseph, MN 56374-8618
Mailing address
134 16TH Ave S
Saint Cloud, MN 56301-4120
Phone (320) 237-7874
Other practice location 1
18336 Joplin St NW
Elk River, MN 55330-1773
Phone (320) 237-7874
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164827580 | Other | MN | NPI |
Other providers in Saint Joseph, MN
- Bettin Counseling
- Michelle Lynn Bettin
- Gerard L Bobeldyk
- Kenneth J Breker
- Rebecca Breth
- Rachel Brothers
- Casey M. Plante-Theis, LLC
- Centracare Clinic
- Jennifer Margaret Chirhart
- Chiropractic Connection PC
All providers in Saint Joseph, MN · Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.