Organization Active NPI

Mindfully Magnified Mental Health and Consulting

Doing business as Mindfully Magnified Mental Health and Consulting LLC

  • Clinical Social Worker
  • Burnsville, MN
National Provider Identifier
1033876495
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFULLY MAGNIFIED MENTAL HEALTH AND CONSULTING
Doing business as
Mindfully Magnified Mental Health and Consulting
Mindfully Magnified Mental Health and Consulting LLC
Practice address
12940 Harriet Ave S Ste 260a
Burnsville, MN 55337-3686
Phone
(612) 802-8076
Fax
(651) 927-0210
NPI assigned
Nov 19, 2021
Last updated
Aug 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Authorized official

Name
Celia Smith, LICSWNPI 1760004113
Title
Owner, Clinical Director
Phone
(651) 300-9493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

12940 Harriet Ave S Ste 260a
Burnsville, MN 55337-3686

Mailing address

12940 Harriet Ave S Ste 260a
Burnsville, MN 55337-3686
Phone (612) 802-8076

Other names 2

  • Mindfully Magnified Mental Health and Consulting Doing business as
  • Mindfully Magnified Mental Health and Consulting LLC Doing business as

National Provider Directory

National Provider Directory

Locations

12940 Harriet Ave S
Ste 260A
Burnsville, MN 55337

12940 Harriet Ave S
Ste 260E
Burnsville, MN 55337

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786147200000",
    "number": "1033876495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12940 HARRIET AVE S STE 260A",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373686",
            "telephone_number": "612-802-8076",
            "fax_number": "651-927-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12940 HARRIET AVE S STE 260A",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373686",
            "telephone_number": "612-802-8076",
            "fax_number": "651-927-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY MAGNIFIED MENTAL HEALTH AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "651-300-9493",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindfully Magnified Mental Health and Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindfully Magnified Mental Health and Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindfully Magnified Mental Health and Consulting LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.