Active NPI
Merrana LLC
Doing business as MindBalance Mental Health Care
- Mental Health Counselor
- Minneapolis, MN
National Provider Identifier
1629789821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MERRANA LLC
- Doing business as
- MindBalance Mental Health Care
- Practice address
- 4450 Nicollet Ave
Minneapolis, MN 55419-5035 - Phone
- (612) 441-4551
- NPI assigned
- Dec 8, 2022
- Last updated
- Jan 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Alexander Zedginidze, LPCC
- Title
- Co-Founder
- Phone
- (651) 271-2956
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
4450 Nicollet Ave
Minneapolis, MN 55419-5035
Mailing address
4450 Nicollet Ave
Minneapolis, MN 55419-5035
Other names 1
- MindBalance Mental Health Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1629789821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554195035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4450 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554195035",
"telephone_number": "612-441-4551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERRANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-08",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "ZEDGINIDZE",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "ALEXANDER",
"authorized_official_title_or_position": "CO-FOUNDER",
"authorized_official_telephone_number": "651-271-2956",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MindBalance Mental Health Care",
"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 Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.