NPIMap

Organization Active NPI

Advanced Behavioral Health, Inc

  • Adult Mental Health Clinic/Center
  • Brooklyn Center, MN
National Provider Identifier
1013139419
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ADVANCED BEHAVIORAL HEALTH, INC
Practice address
6160 Summit Dr N Ste 375
Brooklyn Center, MN 55430-2251
Phone
(763) 560-8331
Fax
(763) 560-8431
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Kay Voss, MA, LPCCNPI 1407991854
Title
Owner/Ceo
Phone
(763) 560-8331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

6160 Summit Dr N Ste 375
Brooklyn Center, MN 55430-2251

Mailing address

6160 Summit Dr N Ste 375
Brooklyn Center, MN 55430-2251
Phone (763) 560-8331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220003883 MN Part B Supplier - Clinic/Group Practice 9436287042 Receives reassigned benefits from 9 practitioners
Practice locations: Brooklyn Center, MN

National Provider Directory

National Provider Directory

Locations

3300 County Road 10
Ste 500
Brooklyn Ctr, MN 55429
Phone (763) 560-8331

6160 Summit Dr N
Ste 375
Minneapolis, MN 55430
Phone (763) 560-8331

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1013139419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 SUMMIT DR N STE 375",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302251",
            "telephone_number": "763-560-8331",
            "fax_number": "763-560-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 SUMMIT DR N STE 375",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302251",
            "telephone_number": "763-560-8331",
            "fax_number": "763-560-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "VOSS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "763-560-8331",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.