Organization Active NPI

Avivo

Doing business as Spectrum Community Mental Health

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1548315880
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AVIVO
Doing business as
Spectrum Community Mental Health
Practice address
1825 Chicago Ave
Minneapolis, MN 55404-1939
Phone
(612) 752-8200
Fax
(612) 752-8201
NPI assigned
Jan 25, 2007
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Kelly Matter
Title
Ceo
Phone
(612) 752-8204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1825 Chicago Ave
Minneapolis, MN 55404-1939

Mailing address

1900 Chicago Ave
Minneapolis, MN 55404-1903
Phone (612) 752-8000

Other identifiers 1

IdentifierTypeStateIssuer
135355100MedicaidMN

Other names 1

  • Spectrum Community Mental Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Avivo9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1548315880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041903",
            "telephone_number": "612-752-8000",
            "fax_number": "612-752-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041939",
            "telephone_number": "612-752-8200",
            "fax_number": "612-752-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-09-02",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "MATTER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-752-8204"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135355100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Community Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 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.