Jeffrey Eric John Brunsgaard
NPI 1356847701ActiveIndividual· Counselor, Mental Health· Edina, MN
Counselor, Mental Health with Affinity Psychological Services PC, practicing in Edina, Minnesota. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1356847701 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 4, 2018 |
| Last updated in NPPES | Oct 7, 2024 |
| Certified by provider | Oct 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | CC01755 | MN |
| Counselor, Professional | 101YP2500X | CC01755 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Affinity Psychological Services PCSaint Cloud, MN · 69 clinicians
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