Mentalfitnessconnection LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MENTALFITNESSCONNECTION LLC

Practice address

1512 S Timber RDG
Fridley, MN 55432-4742

Phone

(612) 478-8040

NPI assigned

Nov 27, 2023

Last updated

Nov 27, 2023By 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

Rachel Jean Backlund, MA, LADC, LPCCNPI 1902564529

Title

Owner

Phone

(612) 478-8040

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Backlund, LPCC

  • Mental Health Counselor
  • Fridley, MN
  • NPI 1902564529
  NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1285400606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 S TIMBER RDG",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554324742",
            "telephone_number": "612-478-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 S TIMBER RDG",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554324742",
            "telephone_number": "612-478-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTALFITNESSCONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "BACKLUND",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-478-8040",
        "authorized_official_credential": "MA, LADC, LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Elizabeth McManman, O.D.
• Mackayla Rose McMillan
• Terrence Bernard Meanchop Sr.
• Andrea Meehl, M.S. CCC SLP
• Carolyn Sarah Menger, LICSW
• Jennifer Meraz Barrera
• Brooke Mergens, DPT
• Matthew Brent Merriman, M.A., LMFT
• Metro Health Services, Inc. (Metro Adult Day Program)
• Metro Therapy Special Children's Clinic

• Adult Mental Health Clinic/Center in Fridley, MN
• Providers in Fridley, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.