Organization Active NPI

Mindful Families

  • Counseling Psychologist
  • Bloomington, MN
National Provider Identifier
1962821520
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP5049 Issued in MN
Legal business name
MINDFUL FAMILIES
Practice address
7835 Telegraph Rd
Bloomington, MN 55438-1133
Phone
(612) 486-2956
Fax
(888) 974-1262
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Authorized official

Name
Allison Kay Peterson, MA, LPNPI 1992029763
Title
Owner/Psychologist
Phone
(612) 486-2956

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
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X LP5049 MN Primary

Addresses

Primary practice location

7835 Telegraph Rd
Bloomington, MN 55438-1133

Mailing address

7835 Telegraph Rd
Bloomington, MN 55438-1133
Phone (612) 486-2956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170728000558 MN Part B Supplier - Clinic/Group Practice 4688944358 Receives reassigned benefits from 3 practitioners
Practice locations: Edina, MN

National Provider Directory

National Provider Directory
Tax ID family
Mindful Families2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7835 Telegraph Rd
Bloomington, MN 55438
Phone (612) 486-2956

7400 Metro Blvd
Ste 440
Minneapolis, MN 55439
Phone (612) 486-2956

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": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769817600000",
    "number": "1962821520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 TELEGRAPH RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381133",
            "telephone_number": "612-486-2956",
            "fax_number": "888-974-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 TELEGRAPH RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381133",
            "telephone_number": "612-486-2956",
            "fax_number": "888-974-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-486-2956",
        "authorized_official_credential": "MA, LP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP5049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

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