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DIVERSE MENTAL HEALTH RESPONSE
NPI 1477330330
Social Worker - Clinical in Minneapolis, MN

Active since September 13, 2023
1400 QUEEN AVE N, MINNEAPOLIS, MN 55411(651) 425-1614 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Diverse Mental Health Response NPPES

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

DIVERSE MENTAL HEALTH RESPONSE (NPI 1477330330) is a healthcare organization registered as a clinical in Minneapolis, Minnesota and active in the NPI registry since September 2023. The organization lists Xeng Y Pha, Owner, as its authorized official.

NPPES Registry Identity

NPI1477330330
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDIVERSE MENTAL HEALTH RESPONSE LLC
Location Address1400 QUEEN AVE NMinneapolis, MN 55411-2926
Mailing Address9216 White Oaks TrlChamplin, MN 55316-2675
Phone(651) 425-1614
Organization SubpartNo
Authorized OfficialXeng Y PhaOwner · (651) 425-1614
Enumeration DateSeptember 13, 2023
Last NPPES UpdateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1477330330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
1400 QUEEN AVE N, Minneapolis, MN 55411
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Other Names 1

Other NameDiverse Mental Health Response

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

Diverse Mental Health Response 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 Diverse Mental Health Response, which bills Medicare for the services this clinician delivers.

Clinician (1)

Xeng Pha
Clinical Social Worker
NPI 1518565126
1400 QUEEN AVE N
Minneapolis, MN 55411
(651) 425-1614
✔ 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 Diverse Mental Health Response LLC's NPI number?

The NPI number for Diverse Mental Health Response LLC is 1477330330. It was assigned to this organization in the NPPES registry on September 13, 2023. The provider is also known as Diverse Mental Health Response.

Where is Diverse Mental Health Response LLC located?

Diverse Mental Health Response LLC is located at 1400 Queen Ave N, Minneapolis, MN 55411. The listed phone number is (651) 425-1614.

What is Diverse Mental Health Response LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Diverse Mental Health Response LLC enrolled in Medicare?

Yes. Diverse Mental Health Response LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diverse Mental Health Response LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Diverse Mental Health Response LLC. 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 Diverse Mental Health Response LLC accept?

Health plans from HealthPartners list Diverse Mental Health Response LLC 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 Diverse Mental Health Response LLC was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.