THE MENTAL HEALTH COLLECTIVE (NPI# 1932126794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932126794 |
| Entity Type | Organization |
| Organization Name | THE MENTAL HEALTH COLLECTIVE |
| Practice Address |
3548 Bryant Ave S Minneapolis MN 55408-4119 |
| Practice Telephone | 6128228227 |
| Practice Fax Number | 6128254204 |
| Mailing Telephone | 6128228227 |
| Mailing Fax Number | 6128254204 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LAURENCE ALAN KIVENS (CO-DIRECTOR) |
| Authorized Official Telephone | 6128228227 |
| Authorized Official Credential | PSY.D., L.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
3548 BRYANT AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902807886 | Ann P Gilligan | Social Worker | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2005-08-02 |
| 1316553209 | Rachael Herbert | Social Worker | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2020-09-16 |
| 1336781541 | Micheline Mutombo-harris | Social Worker | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2019-10-09 |
| 1063060440 | Sirat Bashir | Counselor | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2019-08-29 |
| 1629626395 | Emily Christie | Social Worker | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2019-08-27 |
| 1326696964 | Thientrang Thi Nguyen | Student in an Organized Health Care Education/Training Program | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2019-08-27 |
| 1992277156 | Alma L Villasenor | Counselor | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2018-12-27 |
| 1902389455 | Huda Badri | Counselor | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2018-09-11 |
| 1336622935 | Sarah Christine Swanson | Student in an Organized Health Care Education/Training Program | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2018-09-10 |
| 1457834145 | Sarah Maria Lentz | Marriage & Family Therapist | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433984 | Hopebridge Life Skills Center | Clinic/Center | 3617 E Lake St, Minneapolis, MN 55406-2148 | 2020-10-05 |
| 1801404637 | Golden Health LLC | Clinic/Center | 3601 Phillips Pkwy Apt 116, Minneapolis, MN 55426-3800 | 2020-07-17 |
| 1720562812 | Axisspoint Inc | Clinic/Center | 2021 E Hennepin Ave Ste 193, Minneapolis, MN 55413-1773 | 2018-09-24 |
| 1295213759 | Kathleen Healthcare Center | Clinic/Center | 2647 Bloomington Ave, Minneapolis, MN 55407-1187 | 2018-08-06 |
| 1730672106 | Koru Holistic Counseling | Clinic/Center | 314 Clifton Ave Ste 10, Minneapolis, MN 55403-3384 | 2018-06-11 |
| 1043700800 | Roots Therapy & Consulting LLC | Clinic/Center | 2920 Bryant Ave S Ste 112, Minneapolis, MN 55408-2332 | 2018-05-16 |
| 1093216848 | Cure Care Psychotherapy LLC | Clinic/Center | 730 E 38th St Ste 201, Minneapolis, MN 55407-5235 | 2018-02-27 |
| 1801308077 | Nicole J Wolf Phd Lp | Clinic/Center | 4749 Chicago Ave Ste 1a, Minneapolis, MN 55407-4181 | 2017-10-27 |
| 1386953974 | Water's Edge Psychotherapy, LLC | Clinic/Center | 3617 45th Ave S, Minneapolis, MN 55406-2928 | 2010-09-29 |
| 1992934392 | Morningsong Therapy Center Inc | Clinic/Center | 25 W. Diamond Lake Road, Minneapolis, MN 55419 | 2009-07-07 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
Please comment or provide details below to improve the information on THE MENTAL HEALTH COLLECTIVE.
| 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.