Active NPI
Mindful Behavior Service Co
- Community/Behavioral Health Agency
- Moorhead, MN
National Provider Identifier
1336037969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MINDFUL BEHAVIOR SERVICE CO
- Practice address
- 10 4TH St N
Moorhead, MN 56560-1955 - Phone
- (701) 314-7257
- NPI assigned
- Jun 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdinajib Muqtar Ahmed
- Title
- Authorized Agent
- Phone
- (701) 314-7257
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
10 4TH St N
Moorhead, MN 56560-1955
Mailing address
10 4TH St N
Moorhead, MN 56560-1955
Phone (701) 314-7257
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750723200000",
"number": "1336037969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 4TH ST N",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565601955",
"telephone_number": "701-314-7257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 4TH ST N",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565601955",
"telephone_number": "701-314-7257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL BEHAVIOR SERVICE CO",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "ABDINAJIB",
"authorized_official_middle_name": "MUQTAR",
"authorized_official_title_or_position": "AUTHORIZED AGENT",
"authorized_official_telephone_number": "701-314-7257"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorhead, MN
- Midthune Chiropractic PA
- Nicholas Midthune, D.C.
- Midwest Vision Centers Inc
- Courtenay Miedema, LPC
- Brooke J Millerbernd, DPT
- Mindful Healing & Consulting PLLC
- Minnesota State Colleges & Universities
- Minnesota State Colleges & Universities
- Minnesota State Community and Technical College - Dental
- Minnesota State University Moorhead
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.