Beacon Bridge Therapy

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BEACON BRIDGE THERAPY

Practice address

2738 Winnetka Ave N Ste 200B
New Hope, MN 55427-2850

Phone

(612) 438-5540

NPI assigned

Feb 18, 2025

Last updated

Feb 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Najma Omar

Title

Owner

Phone

(612) 800-4925

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1063217487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 UNIVERSITY AVE NE APT 113",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 WINNETKA AVE N STE 200B",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272850",
            "telephone_number": "612-438-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON BRIDGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "NAJMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-800-4925"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in New Hope, MN
• Providers in New Hope, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.