Organization Active NPI

Brilliant Minds Therapy

  • Early Intervention Provider Agency
  • Minnetonka, MN
National Provider Identifier
1508651233
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BRILLIANT MINDS THERAPY
Practice address
601 Carlson Pkwy Ste 1050
Minnetonka, MN 55305-5219
Phone
(888) 888-8888
NPI assigned
Apr 12, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Kamal Jama
Title
Director
Phone
(888) 888-8888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

601 Carlson Pkwy Ste 1050
Minnetonka, MN 55305-5219

Mailing address

601 Carlson Pkwy Ste 1050
Minnetonka, MN 55305-5219
Phone (888) 888-8888

National Provider Directory

National Provider Directory

Locations

601 Carlson Pkwy
Ste 1050
Minnetonka, MN 55305
Phone (952) 745-4534

NPI Registry JSON

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

{
    "created_epoch": "1744416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1508651233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CARLSON PKWY STE 1050",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055219",
            "telephone_number": "888-888-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CARLSON PKWY STE 1050",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055219",
            "telephone_number": "888-888-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT MINDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-888-8888"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.