MOMENTA MENTAL HEALTH
NPI 1215692785
Clinic/Center - Adolescent and Children Mental Health in White Bear Lake, MN
About Momenta Mental Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOMENTA MENTAL HEALTH (NPI 1215692785) is a healthcare organization registered as an adolescent and children mental health in White Bear Lake, Minnesota and active in the NPI registry since November 2021. The organization lists Brianne M Marion, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Momenta Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Momenta Mental Health, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Momenta Mental Health's NPI number?
The NPI number for Momenta Mental Health is 1215692785. It was assigned to this organization in the NPPES registry on November 1, 2021.
Where is Momenta Mental Health located?
Momenta Mental Health is located at 2179 4th St Ste 2F, White Bear Lake, MN 55110. The listed phone number is (701) 426-8833.
What is Momenta Mental Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.
Is Momenta Mental Health enrolled in Medicare?
Yes. Momenta Mental Health is registered in the Medicare PECOS enrollment system.
When is Momenta Mental Health's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Minnesota, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Momenta Mental Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Momenta Mental Health. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Momenta Mental Health accept?
Health plans from HealthPartners list Momenta Mental Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Momenta Mental Health was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Momenta Mental Health · NPI 1215692785
Adolescent and Children Mental Health organization in White Bear Lake, Minnesota. Organization record, active in the CMS NPPES registry since November 1, 2021.
## Identity
- **NPI:** 1215692785 (Entity type: Organization)
- **Enumerated:** November 1, 2021
- **Primary specialty:** Clinic/Center - Adolescent and Children Mental Health · taxonomy 261QM0855X
- **Organization subpart:** No
- **Authorized official:** Brianne Marion, OWNER
## Practice location
- **Address:** 2179 4TH ST STE 2F, White Bear Lake, MN 55110-3041
- **Phone:** (701) 426-8833
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Minnesota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2022
- **Other identifiers:** Medicaid 1053785691 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1215692785) · Data from the CMS NPPES public registry.