NICHOLE MARIE BRUA LPCC
NPI 1619553559
Counselor - Professional in Minnetonka, MN

Q: What is Nichole Brua's NPI number?

The NPI number for Nichole Brua is 1619553559. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Nichole Brua'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 Nichole Brua was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 22, 2021PECOS Enrolled

5125 COUNTY ROAD 101 STE 300, MINNETONKA, MN 55345(952) 932-7277(952) 932-9827 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Apr 9, 2025, Mar 22, 2021 (3 updates tracked since 2021).

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About Nichole Marie Brua Lpcc NPPES

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

NICHOLE MARIE BRUA LPCC (NPI 1619553559) is an individual professional provider in Minnetonka, Minnesota, licensed in Minnesota (5488) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619553559

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameNICHOLE MARIE BRUACredential: LPCC

Location Address5125 COUNTY ROAD 101 STE 300Minnetonka, MN 55345-4157

Mailing Address5125 County Road 101 Ste 300Minnetonka, MN 55345-4157 · (952) 932-7277 · Fax (952) 932-9827

Phone(952) 932-7277

Fax(952) 932-9827

Sole ProprietorNo

Enumeration DateMarch 22, 2021

Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1619553559 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 · 5488

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 306840 (MN)

5125 COUNTY ROAD 101 STE 300, Minnetonka, MN 55345

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nichole Marie Brua 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.

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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.

ALEXANDER FELLERMAN

Counselor (Professional)