Active NPI
Brianna Berg
- Professional Counselor
- Prior Lake, MN
National Provider Identifier
1942024534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5711
- Practice address
- 16180 Hastings Ave SE
Prior Lake, MN 55372-9227 - Phone
- (952) 443-4600
- NPI assigned
- Nov 11, 2024
- Last updated
- Aug 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5711 | MN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
16180 Hastings Ave SE
Prior Lake, MN 55372-9227
Mailing address
16180 Hastings Ave SE
Prior Lake, MN 55372-9227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1942024534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16180 HASTINGS AVE SE",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553729227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16180 HASTINGS AVE SE",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553729227",
"telephone_number": "952-443-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "BRIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "5711",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prior Lake, MN
- Basile Orthodontics PA (Prior Lake Orthodontics)
- Behavioral Wellness Counseling Clinic, LLC (Behavioral Wellness)
- Belland Family Dentistry PLLC
- Blake Belland, DDS
- Robert L Benton
- Andrea J Berger, DPT
- Sara Rae Betterly Wallen
- Bliss Family Dental Julie Konop, DDS, PLLC
- Block Dentistry
- Susan Elizabeth Block
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.