NPIMap

Organization Active NPI

MN Mental Health Consulting LLC

  • Community/Behavioral Health Agency
  • Edina, MN
National Provider Identifier
1639343783
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1315 Issued in MN
Legal business name
MN MENTAL HEALTH CONSULTING LLC
Practice address
7600 Parklawn Ave
#380
Edina, MN 55435
Phone
(612) 203-2961
Fax
(952) 831-0033
NPI assigned
Apr 19, 2008
Last updated
Jun 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Michelle C Peterson, LMFTNPI 1851354153
Title
Therapist
Phone
(612) 203-2961

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
Community/Behavioral Health Agency 251S00000X 1315 MN Primary

Addresses

Primary practice location

7600 Parklawn Ave
#380
Edina, MN 55435

Mailing address

7600 Parklawn Ave
#380
Edina, MN 55435-5125
Phone (612) 203-2961

Other practice location 1

101 5th St E # 102
Northfield, MN 55057-2067
Phone (612) 203-2961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120709000161 MN Part B Supplier - Clinic/Group Practice 9739344227 Receives reassigned benefits from 8 practitioners
Practice locations: Edina, MN

National Provider Directory

National Provider Directory

Locations

7200 France Ave S
Ste 117
Edina, MN 55435
Phone (612) 203-2961

7600 Parklawn Ave
Ste 380
Minneapolis, MN 55435
Phone (612) 203-2961

101 5th St E
Ste 208
Northfield, MN 55057
Phone (507) 222-9230

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1208563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1639343783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 PARKLAWN AVE",
            "address_2": "#380",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355125",
            "telephone_number": "612-203-2961",
            "fax_number": "952-831-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 PARKLAWN AVE",
            "address_2": "#380",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "612-203-2961",
            "fax_number": "952-831-0033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 5th St E # 102",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "MN",
            "postal_code": "550572067",
            "country_code": "US",
            "telephone_number": "612-203-2961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MN MENTAL HEALTH CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-19",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "612-203-2961",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.