IndividualActive
Bradley Bengtson
NPI 1417255753 · Counseling Psychologist · Lino Lakes, MN
Bradley Bengtson is a Counseling Psychologist provider in Lino Lakes, MN (NPI 1417255753).
Provider details
- NPI number
- 1417255753
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- LP4712 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
33 Village Pkwy
Suite 109
Lino Lakes, MN 55014-4409
Phone: (612) 644-2502
Street-level locationGet directions
Mailing address
33 Village Pkwy
Lino Lakes, MN 55014-4409
Registry dates
- Enumerated
- 2011-03-10
- Last updated
- 2011-03-10
Frequently asked questions
- What is Bradley Bengtson's NPI number?
- Bradley Bengtson's National Provider Identifier (NPI) is 1417255753, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bradley Bengtson's specialty?
- Bradley Bengtson is listed in the NPPES registry with a primary specialty of Counseling Psychologist (Behavioral Health & Social Service Providers).
- Where is Bradley Bengtson located?
- Bradley Bengtson's practice location on file with NPPES is 33 Village Pkwy, Lino Lakes, MN 55014-4409.
- What is Bradley Bengtson's phone number?
- The practice phone number listed in the NPPES registry for Bradley Bengtson is (612) 644-2502.
- Is Bradley Bengtson's NPI active?
- Yes — Bradley Bengtson's NPI (1417255753) is active in the NPPES registry as of the last update on 2011-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.