Organization Active NPI

Lifeline Mental Health

Doing business as Lifeline Mental Health LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1972300986
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFELINE MENTAL HEALTH
Doing business as
Lifeline Mental Health LLC
Practice address
787 Hampden Ave Unit 346
Saint Paul, MN 55114-2308
Phone
(678) 358-9199
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Miss Daalo Shabel
Title
Manager
Phone
(678) 358-9199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

787 Hampden Ave Unit 346
Saint Paul, MN 55114-2308

Mailing address

2121 Nicollet Ave Ste 206
Minneapolis, MN 55404-2575
Phone (612) 245-3864

Other names 1

  • LIFELINE MENTAL HEALTH LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1972300986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 NICOLLET AVE STE 206",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042575",
            "telephone_number": "612-245-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 HAMPDEN AVE UNIT 346",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551142308",
            "telephone_number": "678-358-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "SHABEL",
        "authorized_official_first_name": "DAALO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-358-9199",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFELINE MENTAL HEALTH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 26, 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.