Organization Active NPI

Beyond the Brain Therapies Inc.

Doing business as Counseling & Mediation Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Forest Lake, MN
National Provider Identifier
1114771656
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BEYOND THE BRAIN THERAPIES INC.
Doing business as
Counseling & Mediation Solutions
Practice address
407 W Broadway Ave
Forest Lake, MN 55025-1402
Phone
(651) 307-4993
NPI assigned
Apr 12, 2024
Last updated
May 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Debra Ann NelsonNPI 1629262720
Title
Owner
Phone
(651) 307-4993

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

407 W Broadway Ave
Forest Lake, MN 55025-1402

Mailing address

407 W Broadway Ave
Forest Lake, MN 55025-1402
Phone (651) 307-4993

Other names 1

  • Counseling & Mediation Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

407 W Broadway Ave
Forest Lake, MN 55025
Phone (612) 236-8994

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": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1114771656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W BROADWAY AVE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251402",
            "telephone_number": "651-307-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W BROADWAY AVE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251402",
            "telephone_number": "651-307-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND THE BRAIN THERAPIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-307-4993"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling & Mediation Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Counseling & Mediation Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.