Active NPI
Wise Minds by Rhea PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grand Rapids, MN
National Provider Identifier
1407620453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- WISE MINDS BY RHEA PLLC
- Practice address
- 1255 S Pokegama Ave Unit 11
Grand Rapids, MN 55744-4208 - Phone
- (218) 999-0018
- Fax
- (218) 999-9627
- NPI assigned
- Nov 9, 2023
- 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
- Rhea Lou Del Rosario, PMHNP
- Title
- Ceo, Pmhnp
- Phone
- (218) 999-0018
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 Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1255 S Pokegama Ave Unit 11
Grand Rapids, MN 55744-4208
Mailing address
1255 S Pokegama Ave Unit 11
Grand Rapids, MN 55744-4208
Phone (218) 999-0018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1255 S Pokegama Ave
Unit 11
Grand Rapids, MN 55744
Phone (218) 398-9347
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Grand Rapids, MN
- NPI 1336789916
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Grand Rapids, MN
- NPI 1255143400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706832000000",
"number": "1407620453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 S POKEGAMA AVE UNIT 11",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557444208",
"telephone_number": "218-999-0018",
"fax_number": "218-999-9627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 S POKEGAMA AVE UNIT 11",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557444208",
"telephone_number": "218-999-0018",
"fax_number": "218-999-9627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISE MINDS BY RHEA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-09",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A",
"authorized_official_last_name": "DEL ROSARIO",
"authorized_official_first_name": "RHEA LOU",
"authorized_official_title_or_position": "CEO, PMHNP",
"authorized_official_telephone_number": "218-999-0018",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"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 Grand Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.