Organization Active NPI

Wisemind Behavioral Health, LLC

  • Professional Counselor
  • Eden Prairie, MN
National Provider Identifier
1679329940
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WISEMIND BEHAVIORAL HEALTH, LLC
Practice address
6385 Old Shady Oak Rd Ste 250
Eden Prairie, MN 55344-7705
Phone
(612) 440-1604
NPI assigned
Apr 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Andrew Joseph Huys, LPCC, LADC
Title
Owner/Therapist
Phone
(612) 440-1604

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

6385 Old Shady Oak Rd Ste 250
Eden Prairie, MN 55344-7705

Mailing address

6385 Shady Oak Road
Suite 250
Eden Prairie, MN 55344-9468

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1679329940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 SHADY OAK ROAD",
            "address_2": "SUITE 250",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553449468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 OLD SHADY OAK RD STE 250",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447705",
            "telephone_number": "612-440-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEMIND BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "HUYS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "612-440-1604",
        "authorized_official_credential": "LPCC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.