Organization Active NPI

Edina Comfort Care Mental Health Walk-in Clinic LLC

  • Social Worker
  • Edina, MN
National Provider Identifier
1861706863
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10192 Issued in MN
Legal business name
EDINA COMFORT CARE MENTAL HEALTH WALK-IN CLINIC LLC
Practice address
7401 Metro Blvd Ste 145
Edina, MN 55439-3061
Phone
(952) 913-5403
Fax
(952) 531-3366
NPI assigned
Aug 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Ms. Karen Lee Eckstrom, MSW, LICSWNPI 1598083404
Title
Clinical Director
Phone
(952) 913-5403

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 10192 MN Primary

Addresses

Primary practice location

7401 Metro Blvd Ste 145
Edina, MN 55439-3061

Mailing address

7401 Metro Blvd Ste 145
Edina, MN 55439-3061
Phone (952) 913-5403

Other identifiers 1

IdentifierTypeStateIssuer
1598083404MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111007000346 MN Part B Supplier - Clinic/Group Practice 6608048038 Receives reassigned benefits from 1 practitioner
Practice locations: Edina, MN

National Provider Directory

National Provider Directory

Locations

4570 77th St W
Ste 315
Edina, MN 55435
Phone (612) 554-6794

7401 Metro Blvd
Ste 145
Edina, MN 55439
Phone (952) 913-5403

7300 France Ave S
Ste 208
Edina, MN 55435
Phone (952) 913-5403

7300 France Ave S
Ste H208
Edina, MN 55435

Practitioners & affiliated clinicians

Practitioners 4

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": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1861706863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 145",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393061",
            "telephone_number": "952-913-5403",
            "fax_number": "952-531-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 145",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393061",
            "telephone_number": "952-913-5403",
            "fax_number": "952-531-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINA COMFORT CARE MENTAL HEALTH WALK-IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "ECKSTROM",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "952-913-5403",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MN",
            "license": "10192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598083404",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.