Organization Active NPI

Mai Hero Beyond Boundaries LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coon Rapids, MN
National Provider Identifier
1457150146
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MAI HERO BEYOND BOUNDARIES LLC
Practice address
10141 Quince St NW
Coon Rapids, MN 55433-5146
Phone
(651) 717-5096
Fax
(612) 484-4569
NPI assigned
Mar 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Fue Vang, LPCCNPI 1356175129
Title
Authorized Agent
Phone
(651) 717-5096

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10141 Quince St NW
Coon Rapids, MN 55433-5146

Mailing address

10141 Quince St NW
Coon Rapids, MN 55433-5146
Phone (651) 717-5096

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.

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1457150146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10141 QUINCE ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335146",
            "telephone_number": "651-717-5096",
            "fax_number": "612-484-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10141 QUINCE ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335146",
            "telephone_number": "651-717-5096",
            "fax_number": "612-484-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI HERO BEYOND BOUNDARIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "FUE",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "651-717-5096",
        "authorized_official_credential": "LPCC"
    },
    "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 Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.