Organization Active NPI

Minnesota Mind Body Professionals Inc

  • Mental Health Counselor
  • North Branch, MN
National Provider Identifier
1134029838
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINNESOTA MIND BODY PROFESSIONALS INC
Practice address
6448 Main St Ste 9
North Branch, MN 55056-7068
Phone
(763) 227-4539
Fax
(651) 352-6236
NPI assigned
Nov 6, 2026
Last updated
Nov 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2026

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

Authorized official

Name
Nicole Linder, MSW, LICSW
Title
Ceo
Phone
(763) 227-4539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6448 Main St Ste 9
North Branch, MN 55056-7068

Mailing address

38868 12TH Ave # 30
North Branch, MN 55056-6658
Phone (763) 227-4539

NPI Registry JSON

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

{
    "created_epoch": "1793923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793923200000",
    "number": "1134029838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38868 12TH AVE # 30",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566658",
            "telephone_number": "763-227-4539",
            "fax_number": "651-352-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 MAIN ST STE 9",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550567068",
            "telephone_number": "763-227-4539",
            "fax_number": "651-352-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA MIND BODY PROFESSIONALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-06",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A",
        "authorized_official_last_name": "LINDER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-227-4539",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.