BREANNE G. KWATERA LPCC, LADC
NPI 1710456405
Counselor - Professional in Minneapolis, MN

Active since November 26, 2018PECOS Enrolled
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408(612) 913-4065 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breanne G. Kwatera Lpcc, Ladc NPPES

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

BREANNE G. KWATERA LPCC, LADC (NPI 1710456405) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (1502) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1710456405
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBREANNE G. KWATERACredential: LPCC, LADC
Location Address621 W LAKE ST STE 350Minneapolis, MN 55408-2952
Mailing Address621 W Lake St Ste 350Minneapolis, MN 55408-2952 · (612) 913-4065
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 26, 2018
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
NPI 1710456405 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 · 1502
621 W LAKE ST STE 350, Minneapolis, MN 55408

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 (PECOS)

Breanne G. Kwatera Lpcc, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587185749
PECOS Enrollment IDI20250305000904
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.

Social Worker (Clinical)
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Marriage & Family Therapist
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Social Worker (Clinical)
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Counselor (Mental Health)
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Counselor (Mental Health)
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Dietitian, Registered
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Counselor (Mental Health)
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Social Worker (Clinical)
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408

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 Breanne Kwatera's NPI number?

The NPI number for Breanne Kwatera is 1710456405. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Breanne Kwatera located?

Breanne Kwatera practices at 621 W Lake St Ste 350, Minneapolis, MN 55408. The listed phone number is (612) 913-4065.

What is Breanne Kwatera's specialty?

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

Is Breanne Kwatera enrolled in Medicare?

Yes. Breanne Kwatera is registered in the Medicare PECOS enrollment system.

What insurance does Breanne Kwatera accept?

Health plans from HealthPartners list Breanne Kwatera 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 Breanne Kwatera was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.