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JOHN BROSE LP LMFT ADC NPI 1871652263


NPI Information

NPI: 1871652263
Provider Name: JOHN BROSE, LP, LMFT, ADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
3100 W LAKE ST
SUITE 210
MINNEAPOLIS, MN
ZIP 55416
Phone: (612) 925-6033
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John Brose, LP, LMFT, ADC is an addiction (substance use disorder) counselor in Minneapolis, MN with 36 years of experience. John Brose, LP, LMFT, ADC NPI is 1871652263. 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:

3100 W LAKE ST
SUITE 210
MINNEAPOLIS, MN
ZIP 55416-527
Phone: (612) 925-6033
Fax: (612) 925-8496

The NPI 1871652263 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Psychotherapy, 60 minutes (HCPCS:90837)
  • Psychotherapy, 45 minutes (HCPCS:90834)

The enumeration date for this NPI number is 12/8/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)300760MINNESOTAYes
2103TC0700XPsychologistClinicalLP1349MINNESOTAX
3106H00000XMarriage & Family Therapist719MINNESOTAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1302943OTHERMINNESOTAUSA NETWORK
210183C154OTHERMINNESOTAUCARE
394374OTHERMINNESOTAOPTUM
46120000OTHERMINNESOTAMEDICA CHOICE
568740BROTHERMINNESOTABCBS
6HP19953OTHERMINNESOTAHEALTHPARTNERS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.