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REVERIE MENTAL HEALTH PLLC
NPI 1063134567
Clinic/Center in Hopkins, MN

Active since September 13, 2022
32 10TH AVE S STE 206, HOPKINS, MN 55343(612) 405-0414(571) 376-6561 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2024, Apr 12, 2023, Nov 10, 2022 and 2 more (5 updates tracked since 2022).

About Reverie Mental Health Pllc NPPES

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

REVERIE MENTAL HEALTH PLLC (NPI 1063134567) is a healthcare organization registered as a clinic/center in Hopkins, Minnesota and active in the NPI registry since September 2022. The organization maintains a secondary practice location in Eden Prairie and lists Mackenzie Kampa, Owner, as its authorized official.

NPPES Registry Identity

NPI1063134567
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREVERIE MENTAL HEALTH PLLC
Location Address32 10TH AVE S STE 206Hopkins, MN 55343-9481
Mailing Address32 10th Ave S Ste 206Hopkins, MN 55343-9481 · (612) 405-0414 · Fax (571) 376-6561
Phone(612) 405-0414
Fax(571) 376-6561
Organization SubpartNo
Authorized OfficialMackenzie KampaOwner · (612) 405-0414
Enumeration DateSeptember 13, 2022
Last NPPES UpdateMay 17, 20245 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1063134567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

32 10TH AVE S STE 206, Hopkins, MN 55343
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Secondary Practice Location 1

Location 114996 Williamsburg CtEden Prairie, MN 55347-1524 · Phone (612) 405-0414

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 Reverie Mental Health PLLC's NPI number?

The NPI number for Reverie Mental Health PLLC is 1063134567. It was assigned to this organization in the NPPES registry on September 13, 2022.

Where is Reverie Mental Health PLLC located?

Reverie Mental Health PLLC is located at 32 10th Ave S Ste 206, Hopkins, MN 55343. The listed phone number is (612) 405-0414.

What is Reverie Mental Health PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Reverie Mental Health PLLC was last updated on May 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.