NPIMap

Organization Active NPI

Catalyst Insight Collective, LLC

  • Mental Health Counselor
  • St Anthony, MN
National Provider Identifier
1619562113
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CATALYST INSIGHT COLLECTIVE, LLC
Practice address
2855 Anthony LN S Ste 140
St Anthony, MN 55418-2880
Phone
(612) 444-1655
NPI assigned
Mar 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Mrs. Shireen Ghanatabadi, MA, LPCC, SEPNPI 1952809899
Title
Licensed Therapist
Phone
(612) 444-1655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2855 Anthony LN S Ste 140
St Anthony, MN 55418-2880

Mailing address

2855 Anthony LN S Ste 140
Minneapolis, MN 55418-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240506003640 MN Part B Supplier - Clinic/Group Practice 8820438955 Receives reassigned benefits from 7 practitioners
Practice locations: St Anthony, MN

National Provider Directory

National Provider Directory

Locations

2855 Anthony Ln S
Ste 140
St Anthony, MN 55418
Phone (612) 412-4873

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1619562113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 ANTHONY LN S STE 140",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 ANTHONY LN S STE 140",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554182880",
            "telephone_number": "612-444-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST INSIGHT COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "GHANATABADI",
        "authorized_official_first_name": "SHIREEN",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "612-444-1655",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPCC, SEP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Anthony, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.