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

Brent D Debruyn, LPCC

Individual provider Mental Health Counselor · NPI 1467175505

Brent D Debruyn, LPCC is a Mental Health Counselor in Andover, Minnesota. Qualified in 2018, 8 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2022
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1714 Bunker Lake Blvd NW Ste 100
Andover, MN 55304-4091
Phone: (763) 330-2830
Fax: (763) 330-2831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7954 University Ave Ne, Fridley, MN 55432-1860 — (763) 780-3036

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3669 (MN)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1467175505
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorNo
NPI enumeratedSeptember 23, 2022
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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