Organization Active NPI

Beautiful Minds LLC

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1861153819
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BEAUTIFUL MINDS LLC
Practice address
2021 E Hennepin Ave Ste 100-2
Minneapolis, MN 55413-2700
Phone
(952) 465-7308
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Edna AbdulkadirNPI 1265189070
Title
Owner
Phone
(952) 465-7308

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2021 E Hennepin Ave Ste 100-2
Minneapolis, MN 55413-2700

Mailing address

2415 Emerson Ave S Ste 201
Minneapolis, MN 55405-2602

National Provider Directory

National Provider Directory

Locations

2415 Emerson Ave S
Ste 201
Minneapolis, MN 55405

2021 E Hennepin Ave
Ste 1002
Minneapolis, MN 55413
Phone (612) 644-9136

Practitioners & affiliated clinicians

Practitioners 5

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": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1861153819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 EMERSON AVE S STE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E HENNEPIN AVE STE 100-2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132700",
            "telephone_number": "952-465-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "ABDULKADIR",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-465-7308"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/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 May 20, 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.