BRENT D DEBRUYN LPCC
NPI 1467175505
Counselor - Professional in Andover, MN

Active since September 23, 2022PECOS EnrolledAccepts Medicare Assignment
1714 BUNKER LAKE BLVD NW STE 100, ANDOVER, MN 55304(763) 330-2830(763) 330-2831 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, Mar 18, 2025, Sep 23, 2022 (3 updates tracked since 2022).

About Brent D Debruyn Lpcc NPPES

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

BRENT D DEBRUYN LPCC (NPI 1467175505) is an individual professional provider in Andover, Minnesota, licensed in Minnesota (3669) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fridley, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1467175505
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRENT D DEBRUYNCredential: LPCC
Location Address1714 BUNKER LAKE BLVD NW STE 100Andover, MN 55304-4091
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Fax(763) 330-2831
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 23, 2022
Last NPPES UpdateApril 7, 20253 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
NPI 1467175505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 3669
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1714 BUNKER LAKE BLVD NW STE 100, Andover, MN 55304

Secondary Practice Location 1

Location 17954 University Ave NEFridley, MN 55432-1860 · Phone (763) 780-3036

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brent D Debruyn Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082137682
PECOS Enrollment IDI20250324003611
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 Brent Debruyn's NPI number?

The NPI number for Brent Debruyn is 1467175505. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Brent Debruyn located?

Brent Debruyn practices at 1714 Bunker Lake Blvd NW Ste 100, Andover, MN 55304. The listed phone number is (763) 330-2830.

What is Brent Debruyn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brent Debruyn enrolled in Medicare?

Yes. Brent Debruyn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brent Debruyn accept?

Health plans from HealthPartners, Providence Health Plan and Sanford Health Plan list Brent Debruyn 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 Brent Debruyn was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.