PROVISION WELLNESS CENTER LLC
NPI 1427611318
Clinic/Center - Adult Mental Health in St. Anthony, MN

NPI Status: Active since April 17, 2019

Contact Information

4001 STINSON BLVD
SUITE 300
ST. ANTHONY, MN
ZIP 55421
Phone: (612) 401-1786

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About PROVISION WELLNESS CENTER LLC

This page provides the complete NPI Profile along with additional information for Provision Wellness Center Llc, a provider established in St. Anthony, Minnesota operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1427611318 assigned on April 2019. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Maryan Farah (Owner)

NPI
1427611318
Provider Name
PROVISION WELLNESS CENTER LLC
Entity Type
Organization
Location Address
4001 STINSON BLVD SUITE 300 ST. ANTHONY, MN 55421
Location Phone
(612) 401-1786
Mailing Address
4001 STINSON BLVD NE STE 300 MINNEAPOLIS, MN 55421
Mailing Phone
(612) 401-1786
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2019
Last Update Date
04-02-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARYAN FARAH

Authorized Official Title
OWNER
Authorized Official Phone
(612) 401-1786

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427611318, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 1 + 2 + 1 + 2 + 3 + 2 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1427611318.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Ophthalmology
4001 STINSON BLVD, SUITE 100
MINNEAPOLIS, MN 55421
Podiatrist
4001 STINSON BLVD, STE 232
MINNEAPOLIS, MN 55421
Family Medicine
4001 STINSON BLVD, STE 404
MINNEAPOLIS, MN 55421
Dentist
4001 STINSON BLVD, SUITE 426
MINNEAPOLIS, MN 55421
Ophthalmology
4001 STINSON BLVD, SUITE 100
MINNEAPOLIS, MN 55421
Dentist (General Practice)
4001 STINSON BLVD, SUITE 310
MINNEAPOLIS, MN 55421
Social Worker (Clinical)
4001 STINSON BLVD, SUITE 404
MINNEAPOLIS, MN 55421
Social Worker (Clinical)
4001 STINSON BLVD, SUITE 404
MINNEAPOLIS, MN 55421
Dentist (General Practice)
4001 STINSON BLVD, SUITE 420
MINNEAPOLIS, MN 55421
Home Health
4001 STINSON BLVD, SUITE LL32
MINNEAPOLIS, MN 55421
Hearing Instrument Specialist
4001 STINSON BLVD, STE 401
ST. ANTHONY, MN 55421
Counselor
4001 STINSON BLVD, SUITE 223
MINNEAPOLIS, MN 55421
Substance Abuse Rehabilitation Facility
4001 STINSON BLVD, SUITE 212
MINNEAPOLIS, MN 55421
Internal Medicine (Critical Care Medicine)
4001 STINSON BLVD, STE 404
MINNEAPOLIS, MN 55421
Dentist (General Practice)
4001 STINSON BLVD, SUITE 420
MINNEAPOLIS, MN 55421

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427611318, enumerated as an "organization" on April 17, 2019.

The provider is located at 4001 STINSON BLVD SUITE 300 ST. ANTHONY, MN 55421 and the phone number is (612) 401-1786.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.