OPEN DOOR MENTAL HEALTH SERVICES, INC
NPI 1306632633
Counselor - Mental Health in Minneapolis, MN

Active since April 15, 2025
1409 WILLOW ST STE 5, MINNEAPOLIS, MN 55403(612) 354-6480 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Open Door Mental Health Services, Inc NPPES

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

OPEN DOOR MENTAL HEALTH SERVICES, INC (NPI 1306632633) is a healthcare organization registered as a mental health in Minneapolis, Minnesota and active in the NPI registry since April 2025. The organization lists Branden Phillips, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306632633
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameOPEN DOOR MENTAL HEALTH SERVICES, INC
Location Address1409 WILLOW ST STE 5Minneapolis, MN 55403-2269
Mailing Address3241 Scott Ave NGolden Valley, MN 55422-2745 · (952) 322-0836 · Fax (952) 322-0836
Organization SubpartNo
Authorized OfficialBranden PhillipsCeo · (952) 322-0836
Enumeration DateApril 15, 2025
Last NPPES UpdateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
✔ NPI 1306632633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1409 WILLOW ST STE 5, Minneapolis, MN 55403

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Open Door Mental Health Services, Inc 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 Open Door Mental Health Services, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1215393483
3241 SCOTT AVE N
Golden Valley, MN 55422
(952) 322-0836
✔ PECOS4.5 mi

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 Open Door Mental Health Services, Inc's NPI number?

The NPI number for Open Door Mental Health Services, Inc is 1306632633. It was assigned to this organization in the NPPES registry on April 15, 2025.

Where is Open Door Mental Health Services, Inc located?

Open Door Mental Health Services, Inc is located at 1409 Willow St Ste 5, Minneapolis, MN 55403. The listed phone number is (612) 354-6480.

What is Open Door Mental Health Services, Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Open Door Mental Health Services, Inc enrolled in Medicare?

Yes. Open Door Mental Health Services, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Open Door Mental Health Services, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Open Door Mental Health Services, Inc. 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.

When was this NPI record last updated?

The NPPES record for Open Door Mental Health Services, Inc was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.