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MIND.BODY.SELF., INC.
NPI 1013345164
Community/Behavioral Health in Minneapolis, MN

Active since October 29, 2013
4749 CHICAGO AVE STE 2B, MINNEAPOLIS, MN 55407(612) 710-6107 Get Directions Write a Review

NPPES record last updated: October 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mind.body.self., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND.BODY.SELF., INC. (NPI 1013345164) is a healthcare organization registered as a community/behavioral health in Minneapolis, Minnesota and active in the NPI registry since October 2013. The organization lists Kara Merrill, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1013345164
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMIND.BODY.SELF., INC.
Location Address4749 CHICAGO AVE STE 2BMinneapolis, MN 55407-3561
Mailing Address4749 Chicago Ave Ste 2bMinneapolis, MN 55407-3561
Phone(612) 710-6107
Organization SubpartNo
Authorized OfficialKara MerrillClinical Social Worker · (612) 710-6107
Enumeration DateOctober 29, 2013
✔ NPI 1013345164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MN · 14777
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4749 CHICAGO AVE STE 2B, Minneapolis, MN 55407
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLENN RAGSDALE NUCKOLS LADC, LPCC
Counselor (Professional)
4749 CHICAGO AVE STE 2B
MINNEAPOLIS, MN 55407
Hennepin County (612) 361-7885
LAURA MARIE FORD LPCC
Counselor (Professional)
4749 CHICAGO AVE STE 2B
MINNEAPOLIS, MN 55407
Hennepin County (612) 404-0211
HIRAETH PSYCHOTHERAPY PLLC
Counselor (Professional)
4749 CHICAGO AVE STE 2B
MINNEAPOLIS, MN 55407
Hennepin County (612) 404-0211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind.Body.Self., Inc.'s NPI number?

The NPI number for Mind.Body.Self., Inc. is 1013345164. It was assigned to this organization in the NPPES registry on October 29, 2013.

Where is Mind.Body.Self., Inc. located?

Mind.Body.Self., Inc. is located at 4749 Chicago Ave Ste 2B, Minneapolis, MN 55407. The listed phone number is (612) 710-6107.

What is Mind.Body.Self., Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Mind.Body.Self., Inc. was last updated on October 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.