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BRAVE SOUL COUNSELING SERVICES, LLC
NPI 1457724205
Marriage & Family Therapist in St Paul Park, MN

Active since November 02, 2015
445 BROADWAY AVE STE A, ST PAUL PARK, MN 55071(612) 242-1224(651) 340-2587 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2026, Feb 10, 2020 (2 updates tracked since 2020).

About Brave Soul Counseling Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAVE SOUL COUNSELING SERVICES, LLC (NPI 1457724205) is a healthcare organization registered as a marriage & family therapist in St Paul Park, Minnesota and active in the NPI registry since November 2015. The organization maintains 2 additional practice locations and lists Jill Ellingson, Owner & Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1457724205
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameBRAVE SOUL COUNSELING SERVICES, LLC
Location Address445 BROADWAY AVE STE ASt Paul Park, MN 55071-1554
Mailing Address7201 Metro Blvd Ste 550Edina, MN 55439-1353 · (952) 500-3830 · Fax (866) 450-3814
Phone(612) 242-1224
Fax(651) 340-2587
Organization SubpartNo
Authorized OfficialJill EllingsonOwner & Clinical Director · (952) 500-3830
Enumeration DateNovember 2, 2015
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1457724205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 2671
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
445 BROADWAY AVE STE A, St Paul Park, MN 55071
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Secondary Practice Locations 2

Location 17201 Metro Blvd Ste 550Edina, MN 55439-1353 · Phone (852) 500-3830 · Fax (866) 450-3814
Location 21585 Thomas Center Dr Ste 101Eagan, MN 55122-3034 · Phone (952) 500-3830 · Fax (866) 450-3814

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brave Soul Counseling Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brave Soul Counseling Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amanda Redepenning, M.A., L.M.F.T.
Mental Health Counselor
NPI 1790088409
11334 86TH AVE N
Maple Grove, MN 55369
(763) 255-2125
✔ PECOS✔ Accepts Medicare28 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brave Soul Counseling Services, LLC's NPI number?

The NPI number for Brave Soul Counseling Services, LLC is 1457724205. It was assigned to this organization in the NPPES registry on November 2, 2015.

Where is Brave Soul Counseling Services, LLC located?

Brave Soul Counseling Services, LLC is located at 445 Broadway Ave Ste A, St Paul Park, MN 55071. The listed phone number is (612) 242-1224.

What is Brave Soul Counseling Services, LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Brave Soul Counseling Services, LLC enrolled in Medicare?

Yes. Brave Soul Counseling Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brave Soul Counseling Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Brave Soul Counseling Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brave Soul Counseling Services, LLC accept?

Health plans from HealthPartners list Brave Soul Counseling Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brave Soul Counseling Services, LLC was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.