MINDFUL RESTORATION LLC (NPI# 1104442268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104442268 |
| Entity Type | Organization |
| Organization Name | MINDFUL RESTORATION LLC |
| Practice Address |
7400 Metro Blvd Ste 335 Edina MN 55439-2356 |
| Practice Telephone | 9529929646 |
| Practice Fax Number | 6124653032 |
| Mailing Telephone | 9529929646 |
| Mailing Fax Number | 6124653032 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | CORTNEY L AMUNDSON (MENTAL HEALTH THERAPIST) |
| Authorized Official Telephone | 9529929646 |
| Authorized Official Credential | MA, LPCC, BCN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MINDFUL RESTORATION LLC | 110 1st Ave Ne, New Prague, MN 56071-1824 |
| Street Address |
7400 METRO BLVD STE 335 |
| City | EDINA |
| State | MN |
| Zip Code | 55439-2356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659811826 | Cortney Lynn Amundson | Counselor | 7400 Metro Blvd Ste 335, Edina, MN 55439-2356 | 2017-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354344 | Kaycie Dale | Counselor | 7400 Metro Blvd Ste 100-7, Edina, MN 55439-2316 | 2020-10-21 |
| 1033735717 | Jille Neiman | Counselor | 7602 York Ave S Apt 7115, Edina, MN 55435-5945 | 2020-06-18 |
| 1568098614 | True Change Counseling LLC | Counselor | 5100 Eden Ave Ste 318, Edina, MN 55436-2370 | 2020-03-20 |
| 1235761255 | Anna Mitie Morgan | Counselor | 5217 Halifax Ave S, Edina, MN 55424-1402 | 2020-02-07 |
| 1134695992 | Burhan Mohumed | Counselor | 5100 Edina Industrial Blvd Ste 236, Edina, MN 55439-3066 | 2018-10-19 |
| 1740765312 | Christian Nicole Leon | Counselor | 5201 Eden Ave Ste 349, Edina, MN 55436-2316 | 2018-09-30 |
| 1609352228 | Nicole Auer Gilman | Counselor | 5933 Grimes Ave S, Edina, MN 55424-1936 | 2018-07-17 |
| 1366962409 | Dowling Counseling Services, LLC | Counselor | 5100 Eden Ave Ste 108, Edina, MN 55436-2333 | 2017-06-20 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1184761892 | Thomas Henry Johnson | Counselor | 7101 York Ave S Ste 335, Edina, MN 55435-4428 | 2007-01-31 |
| Find all providers in EDINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.