Organization Active NPI

Mindful Health and Wellness LLC

  • Adult Mental Health Clinic/Center
  • Brooklyn Center, MN
National Provider Identifier
1023862018
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MINDFUL HEALTH AND WELLNESS LLC
Practice address
6040 Earle Brown Dr Ste 310B
Brooklyn Center, MN 55430-4523
Phone
(612) 990-3110
Fax
(763) 710-3209
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Obsa AliNPI 1336992858
Title
Owner
Phone
(619) 808-3191

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
Adult Mental Health Clinic/Center 261QM0850X Primary
Home Health Aide 374U00000X

Addresses

Primary practice location

6040 Earle Brown Dr Ste 310B
Brooklyn Center, MN 55430-4523

Mailing address

6040 Earle Brown Dr Ste 310B
Brooklyn Center, MN 55430-4523
Phone (612) 990-3110

National Provider Directory

National Provider Directory
Tax ID family
Mindful Health and Wellness LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1023862018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 EARLE BROWN DR STE 310B",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554304523",
            "telephone_number": "612-990-3110",
            "fax_number": "763-710-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 EARLE BROWN DR STE 310B",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554304523",
            "telephone_number": "612-990-3110",
            "fax_number": "763-710-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "OBSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-808-3191"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.