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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619553559

Nichole Marie Brua, LPCC is a Mental Health Counselor in Minnetonka, Minnesota. Qualified in 2023, 3 years ago. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2021
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

5125 County Road 101 Ste 300
Minnetonka, MN 55345-4157
Phone: (952) 932-7277
Fax: (952) 932-9827
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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 5488 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 306840 (MN)

Record details

NPI number1619553559
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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