Organization Active NPI

Mind Health Services LLC

  • Community/Behavioral Health Agency
  • Coon Rapids, MN
National Provider Identifier
1376318998
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIND HEALTH SERVICES LLC
Doing business as
Mind Health Services LLC
Practice address
12406 Alder St NW
Coon Rapids, MN 55448-4801
Phone
(612) 707-5235
NPI assigned
Nov 24, 2023
Last updated
Nov 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Authorized official

Name
Bashiir Barkadle
Title
Owner
Phone
(612) 707-5235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

12406 Alder St NW
Coon Rapids, MN 55448-4801

Mailing address

12406 Alder St NW
Coon Rapids, MN 55448-4801
Phone (612) 707-5235

Other names 1

  • Mind Health Services LLC Doing business as

National Provider Directory

National Provider Directory

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": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1376318998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12406 ALDER ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484801",
            "telephone_number": "612-707-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12406 ALDER ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484801",
            "telephone_number": "612-707-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "BARKADLE",
        "authorized_official_first_name": "BASHIIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-707-5235"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Health Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.