C J Integrative Care LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

C J INTEGRATIVE CARE LLC

Practice address

6500 Brooklyn Blvd
Minneapolis, MN 55429-1754

Phone

(651) 212-5375

Fax

(651) 666-1779

NPI assigned

Jan 19, 2026

Organization subpart

No

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

Authorized official

Name

Chris Mokongu, PMHNP-BC

Title

Owner/Authorized Representative

Phone

(651) 212-5375

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1578422358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BROOKLYN BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554291754",
            "telephone_number": "651-212-5375",
            "fax_number": "651-666-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BROOKLYN BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554291754",
            "telephone_number": "651-212-5375",
            "fax_number": "651-666-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C J INTEGRATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "MOKONGU",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "651-212-5375",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.