Active NPI
Minnesota Mind Body Professionals Inc
- Mental Health Counselor
- North Branch, MN
National Provider Identifier
1134029838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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.