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BRANDY THELMA FOUNTAIN LPCC
NPI 1457809139
Counselor - Mental Health in Roseville, MN

Active since September 12, 2016PECOS Enrolled
2823 LEXINGTON AVE N, APT 103, ROSEVILLE, MN 55113(612) 275-3985 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2024, Sep 12, 2016 (2 updates tracked since 2016).

About Brandy Thelma Fountain Lpcc NPPES

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

BRANDY THELMA FOUNTAIN LPCC (NPI 1457809139) is an individual mental health provider in Roseville, Minnesota and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Hope.

NPPES Registry Identity

NPI1457809139
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBRANDY THELMA FOUNTAINCredential: LPCC
Location Address2823 LEXINGTON AVE N, APT 103Roseville, MN 55113-2086
Mailing Address2823 Lexington Ave N, Apt 103Roseville, MN 55113-2086 · (612) 275-3985
Phone(612) 275-3985
Sole ProprietorYes
Enumeration DateSeptember 12, 2016
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1457809139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2823 LEXINGTON AVE N, Roseville, MN 55113
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Secondary Practice Location 1

Location 15555 Boone Ave NNew Hope, MN 55428-3636 · Phone (651) 774-0011 · Fax (651) 774-0606

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandy Thelma Fountain Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Brandy Fountain's NPI number?

The NPI number for Brandy Fountain is 1457809139. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Brandy Fountain located?

Brandy Fountain practices at 2823 Lexington Ave N Apt 103, Roseville, MN 55113. The listed phone number is (612) 275-3985.

What is Brandy Fountain's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brandy Fountain enrolled in Medicare?

Yes. Brandy Fountain is registered in the Medicare PECOS enrollment system.

What insurance does Brandy Fountain accept?

Health plans from HealthPartners list Brandy Fountain 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 Brandy Fountain was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.