BRENDA JOSEPH (MA) – Marriage & Family Therapist, NPI 1881614303

BRENDA JOSEPH (MA) is a healthcare provider. based in Shakopee, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MA. The NPI Number for BRENDA JOSEPH (MA) is 1881614303

Main info

Female
21 Years Of Experience
Name
BRENDA JOSEPH (MA)
NPI
1881614303
Phone
(952) 496-8617
Address
200 4TH AVE W
Enumeration Date
20 July 2006
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6129792276
Graduation Year
2005 (21 years ago)
PAC ID
6305329244
Group Practice PAC ID
9638581291
Professional Enrollment ID
I20260310001928
Address ID
MN554082952MI621XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:19State licenses:0Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for BRENDA JOSEPH (MA)

  • 200, 4th Avenue West, Shakopee, Scott County, Minnesota, 55379, United States

    GOVERNMENT CENTER RM 300

    SHAKOPEE, MN 553791220

    Phone: (952) 496-8617

    Fax: (952) 496-8355

    Type: Location

  • 621 W LAKE ST STE 350

    MINNEAPOLIS, MN 554082952

    Phone: (612) 979-2276

    Fax: (651) 925-0427

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260310001928IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55379)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638581291View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical PsychologistMN
Clinical PsychologistMN
Mental Health CounselorMN
Nurse PractitionerMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical Social WorkerMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is BRENDA JOSEPH (MA) listed with a National Provider Identifier?
Yes — BRENDA JOSEPH (MA) has NPI 1881614303 on file in the registry.
Would BRENDA JOSEPH (MA) appear as active to a payer?
You can treat BRENDA JOSEPH (MA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with BRENDA JOSEPH (MA)?
BRENDA JOSEPH (MA)'s record emphasizes Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRENDA JOSEPH (MA)?
Travel planning: use Shakopee, Minnesota as the reference point for BRENDA JOSEPH (MA), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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