BRANDY THELMA FOUNTAIN LPCC
NPI 1457809139
Counselor - Mental Health in Roseville, MN
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brandy Thelma Fountain Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brandy Fountain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- 99 clinicians in this Medicare group
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 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.
Which organization bills Medicare for Brandy Fountain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandy Fountain reassigns Medicare benefits to People Incorporated (Minneapolis, MN). The 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 Brandy Fountain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Brandy Thelma Fountain, LPCC · NPI 1457809139
Mental Health provider in Roseville, Minnesota. Individual provider, active in the CMS NPPES registry since September 12, 2016.
## Identity
- **NPI:** 1457809139 (Entity type: Individual)
- **Enumerated:** September 12, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2823 LEXINGTON AVE N, APT 103, Roseville, MN 55113-2086
- **Phone:** (612) 275-3985
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** People Incorporated (NPI 1215104831, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1457809139) · Data from the CMS NPPES public registry.