KRISTY BRECKE
NPI 1366955254
Counselor - Professional in Eagan, MN
- Organization
- Counselor
- Professional
About KRISTY BRECKE
This page provides the complete NPI Profile along with additional information for Kristy Brecke, a provider established in Eagan, Minnesota operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1366955254 assigned on November 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 00011 (MN). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kristy Lynne Brecke Lpcc (Therapist/owner)
- NPI
- 1366955254 Verify this NPI
- Provider Name
- KRISTY BRECKE
- Entity Type
- Organization
- Location Address
- 2130 CLIFF RD STE 200 EAGAN, MN 55122
- Location Phone
- (651) 206-5783
- Mailing Address
- 2130 CLIFF RD STE 200 EAGAN, MN 55122
- Mailing Phone
- (651) 206-5783
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-14-2017
- Last Update Date
- 11-14-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 00011
- License State
- MN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366955254, enumerated as an "organization" on November 14, 2017.
The provider is located at 2130 CLIFF RD STE 200 EAGAN, MN 55122 and the phone number is (651) 206-5783.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
