NPIMap

Organization Active NPI

Mental Health Resources, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1902398860
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
PENDING Issued in MN
Legal business name
MENTAL HEALTH RESOURCES, INC.
Practice address
762 Transfer Rd Ste 21
Saint Paul, MN 55114-1489
Phone
(651) 659-2900
NPI assigned
Jun 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Roxanne Condon
Title
VP of Administrative Services
Phone
(651) 659-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X PENDING MN Primary

Addresses

Primary practice location

762 Transfer Rd Ste 21
Saint Paul, MN 55114-1489

Mailing address

762 Transfer Rd Ste 21
Saint Paul, MN 55114-1489
Phone (651) 659-2914

Other practice location 1

7201 University Ave NE
Fridley, MN 55432-3134
Phone (763) 789-4895

Other practice location 2

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

Other identifiers 1

IdentifierTypeStateIssuer
395253309MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.login.crediblebh.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1902398860",
    "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": "651-659-2914",
            "fax_number": "651-645-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 TRANSFER RD STE 21",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141489",
            "telephone_number": "651-659-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7201 University Ave NE",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554323134",
            "country_code": "US",
            "telephone_number": "763-789-4895",
            "fax_number": "763-789-4798",
            "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": "2018-06-05",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "VP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "651-659-2900"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MN",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395253309",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.login.crediblebh.com",
            "affiliation": "N",
            "address_1": "762 Transfer Rd Ste 21",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551141489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.