Mindful Milestones

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MINDFUL MILESTONES

Practice address

1020 E 146TH St Ste 240C
Burnsville, MN 55337-6756

Phone

(817) 566-3452

NPI assigned

Apr 15, 2025

Last updated

Apr 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ibrahim Mohamud

Title

Owner

Phone

(817) 566-3452

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1265228498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E 146TH ST STE 240C",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376756",
            "telephone_number": "817-566-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E 146TH ST STE 240C",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376756",
            "telephone_number": "817-566-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MILESTONES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-566-3452"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.