DR BRECKE COUNSELING GROUP (NPI# 1174174908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174174908 |
| Entity Type | Organization |
| Organization Name | DR BRECKE COUNSELING GROUP |
| Practice Address |
1185 Town Centre Dr Ste 245 Eagan MN 55123-1187 |
| Mailing Address |
3698 Windtree Dr Eagan MN 55123-1318 |
| Practice Telephone | 6512065783 |
| Mailing Telephone | 6512358751 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | DR. KRISTY BRECKE (OWNER/ THERAPIST) |
| Authorized Official Telephone | 6512065783 |
| Authorized Official Credential | DMFT LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
1185 TOWN CENTRE DR STE 245 |
| City | EAGAN |
| State | MN |
| Zip Code | 55123-1187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828467 | Hilltop Family Chiropractic Center Pa | Chiropractor | 1121 Town Centre Drive Suite 202, Eagan, MN 55123 | 2018-01-08 |
| 1922452507 | Jacob Zimmerman | Counselor | 3450 O'leary Ln., Eagan, MN 55123 | 2016-04-20 |
| 1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
| 1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
| 1700172350 | Mary Christine Mcnabney | Nurse Practitioner | 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 | 2011-06-22 |
| 1033353669 | Todd Borstad | Social Worker | 3450 O'leary Lane, Eagan, MN 55123 | 2009-04-27 |
| 1821025271 | Mngi Endoscopy LLC | Clinic/Center | 1185 Town Centre Drive, Eagan, MN 55123 | 2006-06-28 |
| 1780620120 | Cindy Eileen Wood | Audiologist | 3440 Oleary Lane, 240, Eagan, MN 55123 | 2006-06-22 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 1891269155 | Elise Broderick Quam | Social Worker | 3450 Oleary Ln, Eagan, MN 55123 | 2019-01-18 |
| Find all providers in zip 55123 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821172925 | Claire Jordan Birkeland | Psychologist | 4147 Ruby Lane, Eagan, MN 55122 | 2006-10-25 |
| 1417043126 | Barbara Jane Fisher | Psychologist | 3345 Lexington Ave S, Suite 102, Eagan, MN 55121-2276 | 2006-10-04 |
| 1285729525 | Arlow (bill) William Andersen | Psychologist | 1110 Yankee Doodle Road, Eagan, MN 55121 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355275 | Paul Franklin Singh | Psychologist | 150 E Travelers Trl Ste G, Burnsville, MN 55337-6890 | 2020-10-29 |
| 1639779127 | Abdifatah Nuuh | Psychologist | 4204 16th Ave S, Minneapolis, MN 55407-3312 | 2020-10-26 |
| 1134732514 | Colleen Cashen | Psychologist | 1341 Cleveland Ave S, Saint Paul, MN 55116-2653 | 2020-08-26 |
| 1295357440 | Pure Potential Counseling | Psychologist | 18685 Dylan Dr, Farmington, MN 55024-7070 | 2020-05-11 |
| 1871115337 | Melissa Jean King | Psychologist | 205 W 2nd St Ste 437, Duluth, MN 55802-1922 | 2020-05-07 |
| 1841811296 | Kristen Math X | Psychologist | 1603 Pebble Creek Dr, Sartell, MN 56377-4538 | 2020-04-27 |
| 1245859982 | Thomas Allen | Psychologist | 12 Valley View Pl, Mankato, MN 56001-2500 | 2020-04-13 |
| 1033749163 | Neurocalm, LLC | Psychologist | 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 | 2020-01-16 |
| 1457999500 | Megan Robb | Psychologist | 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025-1175 | 2019-12-18 |
| 1821635723 | Leadership Coaching Institute LLC | Psychologist | 1264 Garden St, Ogilvie, MN 56358-3520 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.