Organization Active NPI

Mindwell Support Services Inc

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1497544878
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MINDWELL SUPPORT SERVICES INC
Practice address
3249 Hennepin Ave Ste 60
Minneapolis, MN 55408-3470
Phone
(612) 703-0682
NPI assigned
May 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Guled Abdullahi Jama
Title
Owner
Phone
(612) 703-0682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3249 Hennepin Ave Ste 60
Minneapolis, MN 55408-3470

Mailing address

3249 Hennepin Ave Ste 60
Minneapolis, MN 55408-3470

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1497544878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 HENNEPIN AVE STE 60",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 HENNEPIN AVE STE 60",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083470",
            "telephone_number": "612-703-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWELL SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "GULED",
        "authorized_official_middle_name": "ABDULLAHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-703-0682"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.