Organization Active NPI

Blue Horn Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Eagan, MN
National Provider Identifier
1992567077
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BLUE HORN BEHAVIORAL HEALTH LLC
Practice address
860 Blue Gentian Rd Ste 200
Eagan, MN 55121-1567
Phone
(612) 990-5029
Fax
(612) 895-1500
NPI assigned
Jan 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Mrs. Fatuma A Guhad, APRN, CNP, PMHNP-BCNPI 1073256582
Title
Psychiatric Nurse Practitioner
Phone
(612) 735-0524

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

860 Blue Gentian Rd Ste 200
Eagan, MN 55121-1567

Mailing address

860 Blue Gentian Rd Ste 200
Eagan, MN 55121-1567
Phone (612) 990-5029

Other practice location 1

8400 Normandale Lake Blvd
Minneapolis, MN 55437-1085
Phone (612) 895-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240517001025 MN Part B Supplier - Clinic/Group Practice 9537500814 Receives reassigned benefits from 1 practitioner
Practice locations: Eagan, MN

National Provider Directory

National Provider Directory

Locations

8400 Normandale Lake Blvd
Minneapolis, MN 55437
Phone (305) 614-3347

Practitioners & affiliated clinicians

Practitioners 1

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": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1992567077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BLUE GENTIAN RD STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211567",
            "telephone_number": "612-990-5029",
            "fax_number": "612-895-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BLUE GENTIAN RD STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211567",
            "telephone_number": "612-990-5029",
            "fax_number": "612-895-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 Normandale Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554371085",
            "country_code": "US",
            "telephone_number": "612-895-1400",
            "fax_number": "612-895-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE HORN BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "GUHAD",
        "authorized_official_first_name": "FATUMA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "612-735-0524",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, CNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.