Organization Active NPI

Portlight Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
National Provider Identifier
1841776960
Registry record updated Jul 31, 2026
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
PORTLIGHT MENTAL HEALTH
Practice address
6417 Penn Ave S Ste 7-340
Minneapolis, MN 55423-1186
Phone
(612) 524-8243
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Michael Daly, MA, LMFTNPI 1972020329
Title
Licensed Therapist
Phone
(612) 524-8243

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

Addresses

Primary practice location

6417 Penn Ave S Ste 7-340
Minneapolis, MN 55423-1186

Mailing address

6417 Penn Ave S Ste 7-340
Minneapolis, MN 55423-1186
Phone (612) 524-8243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250123003143 MN Part B Supplier - Clinic/Group Practice 2668901497 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

5413 Nicollet Ave
#152
Minneapolis, MN 55419
Phone (612) 524-8243

6417 Penn Ave S
Ste 7340
Minneapolis, MN 55423

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": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1841776960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 PENN AVE S STE 7-340",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554231186",
            "telephone_number": "612-524-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 PENN AVE S STE 7-340",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554231186",
            "telephone_number": "612-524-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLIGHT MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "612-524-8243",
        "authorized_official_credential": "MA, 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 Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.