MS. NICKY DIANE BREDESON LICSW LMFT
NPI 1487717344
Marriage & Family Therapist in Edina, MN

Q: What is Nicky Bredeson's NPI number?

The NPI number for Nicky Bredeson is 1487717344. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Q: What is Nicky Bredeson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicky Bredeson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 19, 2006

4005 WEST 65TH ST, #108, EDINA, MN 55435(952) 929-1819(952) 929-0022 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ms. Nicky Diane Bredeson Licsw Lmft NPPES

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

MS. NICKY DIANE BREDESON LICSW LMFT (NPI 1487717344) is an individual marriage & family therapist in Edina, Minnesota, licensed in Minnesota (L.M.F.T.564) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1487717344

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. NICKY DIANE BREDESONCredential: LICSW LMFT

Location Address4005 WEST 65TH ST, #108Edina, MN 55435-1700

Mailing Address4005 West 65th St, #108Edina, MN 55435-1700 · (952) 929-1819 · Fax (952) 929-0022

Phone(952) 929-1819

Fax(952) 929-0022

Sole ProprietorNo

Enumeration DateDecember 19, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1487717344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · L.M.F.T.564

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.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License L.I.C.S.W. 257 (MN)

4005 WEST 65TH ST, Edina, MN 55435

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Other Identifiers 2

OtherLICSW257MN · License Number

OtherLMFT564MN · License Number

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 Nicky Bredeson's NPI number?

The NPI number for Nicky Bredeson is 1487717344. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Nicky Bredeson located?

Nicky Bredeson practices at 4005 West 65th St #108, Edina, MN 55435. The listed phone number is (952) 929-1819.

What is Nicky Bredeson's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicky Bredeson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.