NPIMap

Organization Active NPI

Mental Health Resources, Inc.

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1790909703
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MENTAL HEALTH RESOURCES, INC.
Practice address
762 Transfer Rd
Suite 21
Saint Paul, MN 55114
Phone
(651) 659-2900
Fax
(651) 645-7307
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Roxanne Condon
Title
VP of Administrative Services
Phone
(651) 659-2900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

762 Transfer Rd
Suite 21
Saint Paul, MN 55114

Mailing address

762 Transfer Rd
Suite 21
Saint Paul, MN 55114-1404
Phone (651) 659-2900

Other practice location 1

2577 Territorial Rd Ste 2577
Saint Paul, MN 55114-1500
Phone (651) 659-2900

Other practice location 2

7201 University Ave NE
Fridley, MN 55432-3134
Phone (651) 659-2900

Other identifiers 1

IdentifierTypeStateIssuer
395253300MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181106000582 MN Part B Supplier - Clinic/Group Practice 0446144992 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fridley, MN; Saint Paul, MN

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Resources Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7201 University Ave NE
Fridley, MN 55432
Phone (651) 659-2900

2577 Territorial Rd
Ste 2577
Saint Paul, MN 55114
Phone (651) 659-2900

Practitioners & affiliated clinicians

Practitioners 11

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1790909703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 TRANSFER RD",
            "address_2": "SUITE 21",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141404",
            "telephone_number": "651-659-2900",
            "fax_number": "651-645-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 TRANSFER RD",
            "address_2": "SUITE 21",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "651-659-2900",
            "fax_number": "651-645-7307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2577 Territorial Rd Ste 2577",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141500",
            "country_code": "US",
            "telephone_number": "651-659-2900",
            "fax_number": "651-645-7307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7201 University Ave NE",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554323134",
            "country_code": "US",
            "telephone_number": "651-659-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTAL HEALTH RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "VP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "651-659-2900"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395253300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.