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

Jeffrey Eric John Brunsgaard

Individual provider Professional Counselor · NPI 1356847701

Jeffrey Eric John Brunsgaard is a Mental Health Counselor in Edina, Minnesota. Qualified in 2008, 18 years ago. Practices with Affinity Psychological Services PC, a 64-clinician group. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

7401 Metro Blvd Ste 250
Edina, MN 55439-3062
Phone: (612) 447-0647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC01755 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence CC01755 (MN)

Record details

NPI number1356847701
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2018
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing address9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Affinity Psychological Services Pc — 64 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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