JOHN BROSE LP, LMFT, ADC
NPI 1871652263
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Q: What is John Brose's NPI number?

The NPI number for John Brose is 1871652263. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Q: What is John Brose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for John Brose 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 08, 2006PECOS EnrolledAccepts Medicare Assignment

3100 W LAKE ST, SUITE 210, MINNEAPOLIS, MN 55416(612) 925-6033(612) 925-8496 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John Brose Lp, Lmft, Adc NPPES

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

JOHN BROSE LP, LMFT, ADC (NPI 1871652263) is an individual addiction (substance use disorder) provider in Minneapolis, Minnesota, licensed in Minnesota (300760) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1871652263

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJOHN BROSECredential: LP, LMFT, ADC

Location Address3100 W LAKE ST, SUITE 210Minneapolis, MN 55416-4527

Mailing Address3100 W Lake St, Suite 210Minneapolis, MN 55416-4527 · (612) 925-6033 · Fax (612) 925-8496

Phone(612) 925-6033

Fax(612) 925-8496

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateDecember 8, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1871652263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 300760

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP1349 (MN)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 719 (MN)

Other Identifiers 6

Other302943MN · Usa Network

Other6120000MN · Medica Choice

OtherHP19953MN · Healthpartners

Other10183C154MN · Ucare

Other94374MN · Optum

Other68740BRMN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.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

John Brose Lp, Lmft, Adc 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 ID4587555164

PECOS Enrollment IDI20110419000698

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

25 services25 patients

Evaluation of psychological test, first hour 96130

This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.

22 services22 patients

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.

DIANE JASKOVIAK LP

Psychologist (Clinical)