THE LUMINOUS MIND - NPI 1588015168 - Community/Behavioral Health in Roseville, MN

Q: What is Luminous Mind Inc's NPI number?

The NPI number for Luminous Mind Inc is 1588015168. It was assigned to this organization in the NPPES registry on June 25, 2016. The provider is doing business as The Luminous Mind.

Q: What is Luminous Mind Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Luminous Mind Inc was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

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About The Luminous Mind NPPES

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

THE LUMINOUS MIND (NPI 1588015168) is a healthcare organization registered as a community/behavioral health in Roseville, Minnesota and active in the NPI registry since June 2016. The organization lists Layla Asamarai, Owner, as its authorized official.

NPPES Registry Identity

NPI1588015168

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLUMINOUS MIND INC

Location Address1611 COUNTY ROAD B W STE 202Roseville, MN 55113-4053

Mailing Address1611 County Road B W Ste 202Roseville, MN 55113-4053 · (651) 300-1112 · Fax (651) 358-2996

Phone(651) 300-1112

Fax(651) 358-2996

Organization SubpartNo

Authorized OfficialLayla AsamaraiOwner · (651) 300-1112

Enumeration DateJune 25, 2016

Last NPPES UpdateJanuary 29, 20206 updates tracked since enumeration

✔ NPI 1588015168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in MN · 4892

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedPsychologist · HealthTaxonomy 103TH0004X

1611 COUNTY ROAD B W STE 202, Roseville, MN 55113

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Other Names 1

Doing Business AsThe Luminous Mind

Other Identifiers 1

Medicaid1588015168MN

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 ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN COSTELLO PSYD, LP

Psychologist