Iridescent Care Collaborative LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IRIDESCENT CARE COLLABORATIVE LLC

Practice address

3754 Pleasant Ave Ste 205
Minneapolis, MN 55409-1279

Phone

(952) 484-6897

NPI assigned

Sep 23, 2025

Organization subpart

No

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

Authorized official

Name

Michael S Merriam

Title

Senior Administrator

Phone

(952) 484-6897

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1528930906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3754 PLEASANT AVE STE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091279",
            "telephone_number": "952-484-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 PLEASANT AVE STE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091279",
            "telephone_number": "952-484-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIDESCENT CARE COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "MERRIAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SENIOR ADMINISTRATOR",
        "authorized_official_telephone_number": "952-484-6897"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.