MR. BRADLEY MIKE DREIS LPCC
NPI 1619278520
Counselor - Professional in Otsego, MN

Q: What is Bradley Dreis's NPI number?

The NPI number for Bradley Dreis is 1619278520. It was assigned to this individual provider in the NPPES registry on November 9, 2010.

Q: What is Bradley Dreis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bradley Dreis was last updated on January 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 09, 2010PECOS EnrolledAccepts Medicare Assignment

9245 QUANTRELLE AVE NE, OTSEGO, MN 55330(763) 746-9492(763) 746-3685 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Bradley Mike Dreis Lpcc NPPES

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

MR. BRADLEY MIKE DREIS LPCC (NPI 1619278520) is an individual professional provider in Otsego, Minnesota, licensed in Minnesota (CC00436) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Paul, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1619278520

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. BRADLEY MIKE DREISCredential: LPCC

Location Address9245 QUANTRELLE AVE NEOtsego, MN 55330

Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411

Phone(763) 746-9492

Fax(763) 746-3685

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateNovember 9, 2010

Last NPPES UpdateJanuary 21, 2019

✔ NPI 1619278520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · CC00436

9245 QUANTRELLE AVE NE, Otsego, MN 55330

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Secondary Practice Location 1

Location 11821 University Ave W Ste N187Saint Paul, MN 55104-2814 · Phone (763) 200-1233

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 and accepts Medicare assignment

Mr. Bradley Mike Dreis 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 ID3274984711

PECOS Enrollment IDI20240109001591

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENNY GILLEN

Counselor (Addiction (Substance Use Disorder))