MINNESOTA STATE COLLEGES AND UNIVERSITIES
NPI 1104651355
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mankato, MN
About Minnesota State Colleges And Universities NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINNESOTA STATE COLLEGES AND UNIVERSITIES (NPI 1104651355), doing business as Minnesota State University, Mankato, is a healthcare organization registered as a mental health (including community mental health center) in Mankato, Minnesota and active in the NPI registry since September 2024. The organization lists Roy Kammer, Dean, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Minnesota State Colleges And Universities is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Minnesota State Colleges And Universities, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Minnesota State Colleges And Universities's NPI number?
The NPI number for Minnesota State Colleges And Universities is 1104651355. It was assigned to this organization in the NPPES registry on September 6, 2024. The provider is doing business as Minnesota State University, Mankato. The provider is also known as Rural Behavioral Health Clinic.
Where is Minnesota State Colleges And Universities located?
Minnesota State Colleges And Universities is located at 1600 Warren St Ste 6, Mankato, MN 56001. The listed phone number is (507) 389-1443.
What is Minnesota State Colleges And Universities's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Minnesota State Colleges And Universities enrolled in Medicare?
Yes. Minnesota State Colleges And Universities is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Minnesota State Colleges And Universities?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 5 Medicare specialties reassign their Medicare billing to Minnesota State Colleges And Universities. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Qualified Speech Language Pathologist (14), Clinical Social Worker (2) and Marriage and Family Therapist (2). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Minnesota State Colleges And Universities was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Minnesota State Colleges And Universities · NPI 1104651355
Mental Health (Including Community Mental Health Center) organization in Mankato, Minnesota. Organization record, active in the CMS NPPES registry since September 6, 2024.
## Identity
- **NPI:** 1104651355 (Entity type: Organization)
- **Enumerated:** September 6, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Minnesota State University, Mankato (Doing Business As); Rural Behavioral Health Clinic (Other Name)
- **Organization subpart:** Yes (part of Minnesota State Colleges And Universities)
- **Authorized official:** Roy Kammer, DEAN
## Practice location
- **Address:** 1600 WARREN ST STE 6, Mankato, MN 56001-7113
- **Phone:** (507) 389-1443
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Qualified Speech Language Pathologist (14), Clinical Social Worker (2), Marriage and Family Therapist (2); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104651355) · Data from the CMS NPPES public registry.