Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bristlecone to Go, Inc

Organization Counselor · NPI 1134665748

Bristlecone to Go, Inc is a Counselor in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017
Specialties on file
11
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13700 Reimer Dr N Ste 220
Maple Grove, MN 55311-4580
Phone: (763) 424-2474
Fax: (763) 424-2711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Education Nutritionist (primary) Taxonomy 133NN1002X · Licence 01664 (MN)
Counselor Taxonomy 101Y00000X · Licence 01666 (MN)
Counselor Taxonomy 101Y00000X · Licence 01664 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 01664 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 01666 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence 01664 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence 01666 (MN)
Behavior Analyst Taxonomy 103K00000X · Licence 01664 (MN)
Behavior Analyst Taxonomy 103K00000X · Licence 01666 (MN)
Nutritionist Taxonomy 133N00000X
Nutrition Education Nutritionist Taxonomy 133NN1002X · Licence 01666 (MN)

Record details

NPI number1134665748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Gomer — Co-Owner, Coo · (763) 913-4600
Other names Bristlecone Health
NPI enumeratedJanuary 6, 2017
Last updated in NPPESJanuary 6, 2017
Mailing address13700 Reimer Dr N, Suite 220, Maple Grove, MN 55311-4580

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