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

Breanne G. Kwatera, LPCC, LADC

Individual provider Professional Counselor · NPI 1710456405

Breanne G. Kwatera, LPCC, LADC is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2012, 14 years ago. Practices with Lyn-Lake Psychotherapy and Wellness Ltd, a 72-clinician group. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2018
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

621 W Lake St Ste 350
Minneapolis, MN 55408-2952
Phone: (612) 913-4065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1502 (MN)

Record details

NPI number1710456405
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , LADC
Sole proprietorNo
NPI enumeratedNovember 26, 2018
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Lyn-Lake Psychotherapy And Wellness Ltd — 72 clinicians
Accepts Medicare assignment Not indicated

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