Organization Active NPI

Mosaic Family Therapy, LLC

  • Community/Behavioral Health Agency
  • New Hope, MN
National Provider Identifier
1982261566
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOSAIC FAMILY THERAPY, LLC
Practice address
4900 Highway 169 N Ste 210
New Hope, MN 55428-4019
Phone
(952) 452-0643
Fax
(763) 432-7920
NPI assigned
May 20, 2019
Last updated
Sep 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Heather A Muras, LMFTNPI 1972809317
Title
Marriage & Family Therapist, Owner
Phone
(952) 452-0643

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4900 Highway 169 N Ste 210
New Hope, MN 55428-4019

Mailing address

4900 Highway 169 N Ste 210
New Hope, MN 55428-4019
Phone (952) 452-0643

National Provider Directory

National Provider Directory

Locations

9220 Bass Lake Rd
Ste 302
New Hope, MN 55428

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1982261566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 HIGHWAY 169 N STE 210",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284019",
            "telephone_number": "952-452-0643",
            "fax_number": "763-432-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 HIGHWAY 169 N STE 210",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284019",
            "telephone_number": "952-452-0643",
            "fax_number": "763-432-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "MURAS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST, OWNER",
        "authorized_official_telephone_number": "952-452-0643",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.