Organization Active NPI

Thriving Minds LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbury, MN
National Provider Identifier
1285443424
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
THRIVING MINDS LLC
Practice address
2042 Wooddale Dr Ste 250
Woodbury, MN 55125-4421
Phone
(651) 401-6030
NPI assigned
Jan 2, 2025
Last updated
Jan 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Stella Chellangat Chemarum, PMHNP-BCNPI 1447821137
Title
Ceo
Phone
(612) 600-2856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

2042 Wooddale Dr Ste 250
Woodbury, MN 55125-4421

Mailing address

6853 99TH St S
Cottage Grove, MN 55016-1071
Phone (612) 600-2856

National Provider Directory

National Provider Directory

Locations

2042 Wooddale Dr
Ste 250
Woodbury, MN 55125
Phone (651) 300-3328

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1285443424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6853 99TH ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550161071",
            "telephone_number": "612-600-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 WOODDALE DR STE 250",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254421",
            "telephone_number": "651-401-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "CHEMARUM",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "CHELLANGAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-600-2856",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.