Melissa Brogger, MA LADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

300082 Issued in MN

Practice address

1000 Paul Pkwy NE
Blaine, MN 55434-3925

Phone

(763) 757-2906

Fax

(763) 757-2059

NPI assigned

May 20, 2009

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• On-Belay of MN Incorporated

  dba Anthony Louis Center

  • Children's Substance Abuse Rehabilitation Facility
  • Plymouth, MN
  • NPI 1396706008
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1972738920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FORESTVIEW LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554415910",
            "telephone_number": "763-542-9212",
            "fax_number": "763-542-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PAUL PKWY NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343925",
            "telephone_number": "763-757-2906",
            "fax_number": "763-757-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGGER",
        "first_name": "MELISSA",
        "credential": "MA LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "300082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Hoffman Therapeutic Services
• Krista Renee Brenno, M.A., L.P.C., L.A.DC
• Ava Helen Brigham
• Kristin Broback, NP, C
• Robin Lynn Broen
• Brookdale Senior Living Communities Inc (Sterling House of Blaine)
• Andrew William Brown, D.C.
• Carolyn L Brown
• Deborah Ann Brown, APNP
• Tracy Joy Brynelsen, TSLP

• Counselor in Blaine, MN
• Providers in Blaine, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.