Organization Active NPI

New Vision Mental Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1215647607
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NEW VISION MENTAL HEALTH INC
Practice address
6014 Lakeland Ave N
Minneapolis, MN 55428-2984
Phone
(651) 398-4820
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Kaibeh Benson, NP
Title
Nurse Practitioner (Pmhnp)
Phone
(651) 398-4820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6014 Lakeland Ave N
Minneapolis, MN 55428-2984

Mailing address

7360 159TH Ave NW
Ramsey, MN 55303-6618
Phone (651) 398-4820

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@newvisionmentalhealth.com Direct

National Provider Directory

National Provider Directory

Locations

6014 Lakeland Ave N
Minneapolis, MN 55428
Phone (612) 871-2312

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1215647607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 159TH AVE NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553036618",
            "telephone_number": "651-398-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 LAKELAND AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554282984",
            "telephone_number": "651-398-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "KAIBEH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER (PMHNP)",
        "authorized_official_telephone_number": "651-398-4820",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@newvisionmentalhealth.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "6014 Lakeland Ave N",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554282984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.