MEMOR MENTAL HEALTH, PLLC
NPI 1265229199
Clinic/Center - Mental Health (Including Community Mental Health Center) in St Louis Park, MN

Active since April 23, 2025
3340 REPUBLIC AVE STE 120, ST LOUIS PARK, MN 55426(574) 360-9621 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Memor Mental Health, Pllc NPPES

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

MEMOR MENTAL HEALTH, PLLC (NPI 1265229199) is a healthcare organization registered as a mental health (including community mental health center) in St Louis Park, Minnesota and active in the NPI registry since April 2025. The organization lists Carrie Sweetser, Clinical Psychologist, Owner, as its authorized official.

NPPES Registry Identity

NPI1265229199
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMEMOR MENTAL HEALTH, PLLC
Location Address3340 REPUBLIC AVE STE 120St Louis Park, MN 55426-4189
Mailing Address3340 Republic Ave Ste 120St Louis Park, MN 55426-4189
Organization SubpartNo
Authorized OfficialCarrie SweetserClinical Psychologist, Owner · (574) 360-9621
Enumeration DateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1265229199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3340 REPUBLIC AVE STE 120, St Louis Park, MN 55426

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Memor Mental Health, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Memor Mental Health, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1659685774
3340 REPUBLIC AVE STE 120
St Louis Park, MN 55426
(612) 293-8788
✔ PECOS✔ Accepts MedicareSame address

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 Memor Mental Health, PLLC's NPI number?

The NPI number for Memor Mental Health, PLLC is 1265229199. It was assigned to this organization in the NPPES registry on April 23, 2025.

Where is Memor Mental Health, PLLC located?

Memor Mental Health, PLLC is located at 3340 Republic Ave Ste 120, St Louis Park, MN 55426. The listed phone number is (574) 360-9621.

What is Memor Mental Health, PLLC'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 Memor Mental Health, PLLC enrolled in Medicare?

Yes. Memor Mental Health, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memor Mental Health, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Memor Mental Health, PLLC. 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 Memor Mental Health, PLLC accept?

Health plans from HealthPartners list Memor Mental Health, PLLC 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 Memor Mental Health, PLLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.