NPIMap

Organization Active NPI

Helena Family Support Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn Center, MN
National Provider Identifier
1831921162
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HELENA FAMILY SUPPORT INC
Practice address
5637 Brooklyn Blvd
Brooklyn Center, MN 55429-3061
Phone
(612) 232-1073
NPI assigned
Aug 15, 2024
Organization subpart
Yes
Parent organization
HELENA AUTISM THERAPY CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Mary Jane Sharkey, LMFT
Title
Owner
Phone
(952) 484-4885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5637 Brooklyn Blvd
Brooklyn Center, MN 55429-3061

Mailing address

5637 Brooklyn Blvd
Brooklyn Center, MN 55429-3061
Phone (952) 484-4885

National Provider Directory

National Provider Directory
Part of
Helena Autism Therapy Center

Locations

5637 Brooklyn Blvd
Minneapolis, MN 55429
Phone (763) 432-3926

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1831921162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 BROOKLYN BLVD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293061",
            "telephone_number": "952-484-4885",
            "fax_number": "763-951-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 BROOKLYN BLVD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293061",
            "telephone_number": "612-232-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELENA FAMILY SUPPORT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HELENA AUTISM THERAPY CENTER, INC",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "SHARKEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-484-4885",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.