Organization Active NPI

Behavioral Health Alliance

  • Mental Health Counselor
  • St Louis Park, MN
National Provider Identifier
1336765874
Registry record updated Jun 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BEHAVIORAL HEALTH ALLIANCE
Practice address
5871 Cedar Lake Rd S Ste 202
St Louis Park, MN 55416-1479
Phone
(952) 652-3439
Fax
(952) 674-6270
NPI assigned
Jun 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2020

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

Authorized official

Name
Muna Mohamed, LPCCNPI 1407353352
Title
Therapist//Owner
Phone
(952) 652-3439

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5871 Cedar Lake Rd S Ste 202
St Louis Park, MN 55416-1479

Mailing address

5871 Cedar Lake Rd S Ste 202
St Louis Park, MN 55416-1479
Phone (952) 652-3439

Other names 1

  • Behavioral Health Alliance Doing business as

National Provider Directory

National Provider Directory

Locations

5871 Cedar Lake Rd S
Ste 202
St Louis Park, MN 55416
Phone (952) 652-3439

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592697600000",
    "number": "1336765874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5871 CEDAR LAKE RD S STE 202",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161479",
            "telephone_number": "952-652-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5871 CEDAR LAKE RD S STE 202",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161479",
            "telephone_number": "952-652-3439",
            "fax_number": "952-674-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-21",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MUNA",
        "authorized_official_title_or_position": "THERAPIST//OWNER",
        "authorized_official_telephone_number": "952-652-3439",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; 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.