Organization Active NPI

Emerge Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1669283818
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMERGE BEHAVIORAL HEALTH LLC
Practice address
6417 Penn Ave S Ste 71113
Minneapolis, MN 55423-1186
Phone
(323) 514-6761
Fax
(651) 256-2963
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Ociel Mejia
Title
Owner
Phone
(323) 514-6761

Specialties & licenses 1

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

Addresses

Primary practice location

6417 Penn Ave S Ste 71113
Minneapolis, MN 55423-1186

Mailing address

6417 Penn Ave S Ste 71113
Minneapolis, MN 55423-1186
Phone (323) 514-6761

National Provider Directory

National Provider Directory

Locations

6417 Penn Ave S
Ste 71113
Minneapolis, MN 55423
Phone (323) 514-6761

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1669283818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 PENN AVE S STE 71113",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554231186",
            "telephone_number": "323-514-6761",
            "fax_number": "651-256-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 PENN AVE S STE 71113",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554231186",
            "telephone_number": "323-514-6761",
            "fax_number": "651-256-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "OCIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-514-6761"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 16, 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.