MR. BRADLEY MIKE DREIS LPCC NPI 1619278520

NPI Information

  • NPI: 1619278520
  • Provider Name: MR. BRADLEY MIKE DREIS, LPCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9245 QUANTRELLE AVE NE
    OTSEGO, MN
    ZIP 55330
  • Phone: (763) 746-9492

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NPI Details

MR. Bradley Mike Dreis, LPCC is a professional counselor in Otsego, MN with 18 years of experience. MR. Bradley Mike Dreis, LPCC NPI is 1619278520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9245 QUANTRELLE AVE NE
OTSEGO, MN
ZIP 55330
Phone: (763) 746-9492
Fax: (763) 746-3685

The NPI 1619278520 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/9/2010 and was last updated on 1/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalCC00436MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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