NPIMap

Organization Active NPI

Mental Health Resources, Inc.

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1821276049
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
395253302 Issued in MN
Legal business name
MENTAL HEALTH RESOURCES, INC.
Practice address
2105 Minnehaha Ave
Minneapolis, MN 55404-3107
Phone
(612) 333-0331
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Ann Henderson
Title
Ceo
Phone
(651) 659-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 395253302 MN Primary

Addresses

Primary practice location

2105 Minnehaha Ave
Minneapolis, MN 55404-3107

Mailing address

762 Transfer Rd Ste 21
Saint Paul, MN 55114-1489
Phone (651) 659-2900

Other practice location 1

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

Other practice location 2

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

Other identifiers 1

IdentifierTypeStateIssuer
395253302MedicaidMN

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
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.

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": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1821276049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 TRANSFER RD STE 21",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141489",
            "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": "2105 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043107",
            "telephone_number": "612-333-0331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "762 Transfer Rd Ste 21",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "55114",
            "country_code": "US",
            "telephone_number": "651-659-2900",
            "fax_number": "651-645-7307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "basic": {
        "organization_name": "MENTAL HEALTH RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-659-2900"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "395253302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395253302",
            "state": "MN"
        }
    ],
    "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 Feb 24, 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.