Organization Active NPI

Maat Wellness PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, MN
National Provider Identifier
1124854815
Registry record updated Sep 10, 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
MAAT WELLNESS PLLC
Practice address
8120 Penn Ave S Ste 100D
Bloomington, MN 55431-3114
Phone
(704) 968-5471
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Luredia Cooper, LMFT
Title
Owner
Phone
(704) 968-5471

Specialties & licenses 1

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

Addresses

Primary practice location

8120 Penn Ave S Ste 100D
Bloomington, MN 55431-3114

Mailing address

8120 Penn Ave S Ste 100D
Bloomington, MN 55431-3114
Phone (704) 968-5471

National Provider Directory

National Provider Directory

Locations

8120 Penn Ave S
Ste 100D
Minneapolis, MN 55431
Phone (704) 968-5471

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1124854815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 PENN AVE S STE 100D",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313114",
            "telephone_number": "704-968-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 PENN AVE S STE 100D",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313114",
            "telephone_number": "704-968-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAAT WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LUREDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-968-5471",
        "authorized_official_credential": "LMFT"
    },
    "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": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.