Active NPI
Behavioral Health Alliance
- Mental Health Counselor
- St Louis Park, MN
National Provider Identifier
1336765874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Muna Mohamed, LPCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- St Louis Park, MN
- NPI 1922609056
-
- Clinical Social Worker
- St Louis Park, MN
- NPI 1619582095
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.