NPIMap

Organization Active NPI

Edges Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
National Provider Identifier
1306389861
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EDGES WELLNESS CENTER LLC
Practice address
730 E 38TH St
Suite 101
Minneapolis, MN 55407-2572
Phone
(612) 272-3016
Fax
(888) 778-2961
NPI assigned
Nov 30, 2016
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Nicole Urbach
Title
Executive Director
Phone
(612) 305-8510

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

730 E 38TH St
Suite 101
Minneapolis, MN 55407-2572

Mailing address

730 E 38TH St Ste 101
Minneapolis, MN 55407-5218
Phone (612) 217-0584

Other practice location 1

390 Red Cedar St Ste 108
Menomonie, WI 54751-2265
Phone (612) 217-0584

Other practice location 2

1515 Energy Park Dr
Saint Paul, MN 55108-5229
Phone (612) 217-0584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240701003427 MN Part B Supplier - Clinic/Group Practice 9638613607 Receives reassigned benefits from 18 practitioners
Practice locations: Minneapolis, MN; Saint Paul, MN
O20240801001004 WI Part B Supplier - Clinic/Group Practice 9638613607 Receives reassigned benefits from 4 practitioners
Practice locations: Menomonie, WI

National Provider Directory

National Provider Directory

Locations

730 E 38th St
Ste 101
Minneapolis, MN 55407
Phone (612) 217-0584

390 Red Cedar St
Ste 108
Menomonie, WI 54751
Phone (612) 217-0584

390 Red Cedar St
Ste 109
Menomonie, WI 54751
Phone (612) 293-6277

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1306389861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E 38TH ST STE 101",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554075218",
            "telephone_number": "612-217-0584",
            "fax_number": "888-778-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E 38TH ST",
            "address_2": "SUITE 101",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072572",
            "telephone_number": "612-272-3016",
            "fax_number": "888-778-2961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Red Cedar St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547512265",
            "country_code": "US",
            "telephone_number": "612-217-0584",
            "fax_number": "888-778-2961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Energy Park Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551085229",
            "country_code": "US",
            "telephone_number": "612-217-0584",
            "fax_number": "888-778-2961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDGES WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "URBACH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-305-8510"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.