NPIMap

Organization Active NPI

Iris Mental Health, LLC

Doing business as Iris Mental Health & Wellness

  • Marriage & Family Therapist
  • Apple Valley, MN
National Provider Identifier
1023528213
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
IRIS MENTAL HEALTH, LLC
Doing business as
Iris Mental Health & Wellness
Practice address
14665 Galaxie Ave Ste 140
Apple Valley, MN 55124-4509
Phone
(651) 456-8494
NPI assigned
Oct 3, 2017
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Crystal Clancy, LMFT PMH-CNPI 1578703559
Title
President
Phone
(651) 456-8494

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

14665 Galaxie Ave Ste 140
Apple Valley, MN 55124-4509

Mailing address

14665 Galaxie Ave Ste 140
Apple Valley, MN 55124-4509
Phone (651) 456-8494

Other practice location 1

75 Hassan St SE
Hutchinson, MN 55350-2521
Phone (651) 456-8494

Other practice location 2

2395 Ariel St N
Maplewood, MN 55109-2248
Phone (651) 456-8494

Other identifiers 1

IdentifierTypeStateIssuer
3836220MedicaidMN

Other names 1

  • Iris Mental Health & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240131003953 MN Part B Supplier - Clinic/Group Practice 2365895844 Receives reassigned benefits from 19 practitioners
Practice locations: Maplewood, MN; Apple Valley, MN

National Provider Directory

National Provider Directory

Locations

14665 Galaxie Ave
Ste 130
Apple Valley, MN 55124
Phone (651) 456-8494

101 W Burnsville Pkwy
Ste 207
Burnsville, MN 55337
Phone (612) 548-4266

1500 McAndrews Rd W
Ste 212
Burnsville, MN 55337
Phone (612) 548-4266

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1023528213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14665 GALAXIE AVE STE 140",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244509",
            "telephone_number": "651-456-8494",
            "fax_number": "952-686-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14665 GALAXIE AVE STE 140",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244509",
            "telephone_number": "651-456-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Hassan St SE",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "MN",
            "postal_code": "553502521",
            "country_code": "US",
            "telephone_number": "651-456-8494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2395 Ariel St N",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551092248",
            "country_code": "US",
            "telephone_number": "651-456-8494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRIS MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-456-8494",
        "authorized_official_credential": "LMFT PMH-C"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3836220",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iris Mental Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Iris Mental Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.