Individual provider Active NPI

Brandy Tessa Brown, MA, LAMFT

  • Marriage & Family Therapist
  • Plymouth, MN
National Provider Identifier
1992147144
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2722 Issued in MN
Practice address
1700 Niagara LN N Ste 201
Plymouth, MN 55447-4911
Phone
(612) 213-6775
NPI assigned
Jul 29, 2013
Last updated
May 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2722 MN Primary

Addresses

Primary practice location

1700 Niagara LN N Ste 201
Plymouth, MN 55447-4911

Mailing address

1700 Niagara LN N Ste 201
Plymouth, MN 55447-4911
Phone (612) 213-6775

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
I20260311002742 MN Practitioner - Marriage and Family Therapist 9537642186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

148 N Greenbush Rd
Suite E
Troy, NY 12180-8614

333 Grand Ave
Suite 215
Saint Paul, MN 55102-2325

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy Abbott, MSW,Licsw LLC CurrentSince Jan 27, 2026 Accepting new patients

Locations

333 Grand Ave
Ste 215
Saint Paul, MN 55102
Phone (651) 238-9447

Organizations & group practices 1

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1992147144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NIAGARA LN N STE 201",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474911",
            "telephone_number": "612-213-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NIAGARA LN N STE 201",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474911",
            "telephone_number": "612-213-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRANDY",
        "middle_name": "TESSA",
        "credential": "MA, LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.