Organization Active NPI

Midwest Behavioral Wellness LLC

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1720873219
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIDWEST BEHAVIORAL WELLNESS LLC
Practice address
2750 Park Ave Ste 9
Minneapolis, MN 55407-1009
Phone
(651) 410-8931
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Khalid JamaNPI 1326864182
Title
Owner
Phone
(651) 410-8931

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 Primary

Addresses

Primary practice location

2750 Park Ave Ste 9
Minneapolis, MN 55407-1009

Mailing address

2750 Park Ave Ste 9
Minneapolis, MN 55407-1009
Phone (651) 410-8931

National Provider Directory

National Provider Directory

Locations

2750 Park Ave
Ste 9
Minneapolis, MN 55407
Phone (651) 410-8931

Practitioners & affiliated clinicians

Practitioners 1

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": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1720873219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 PARK AVE STE 9",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071009",
            "telephone_number": "651-410-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 PARK AVE STE 9",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071009",
            "telephone_number": "651-410-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BEHAVIORAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-410-8931"
    },
    "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 Jul 24, 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.