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BLUE IRIS THERAPY, PLLC
NPI 1649564188
Community/Behavioral Health in Richfield, MN

Active since June 01, 2011
6437 LYNDALE AVE S, SUITE 101, RICHFIELD, MN 55423(612) 455-4040(612) 455-4041 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Iris Therapy, Pllc NPPES

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

BLUE IRIS THERAPY, PLLC (NPI 1649564188), doing business as Blue Iris Center For Therapeutic Services, Llc, is a healthcare organization registered as a community/behavioral health in Richfield, Minnesota and active in the NPI registry since June 2011. The organization lists Grant D Chikazawa-nelson, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1649564188
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBLUE IRIS THERAPY, PLLC
Location Address6437 LYNDALE AVE S, SUITE 101Richfield, MN 55423-1465
Mailing Address6437 Lyndale Ave S, Suite 101Richfield, MN 55423-1465 · (612) 455-4040 · Fax (612) 455-4041
Phone(612) 455-4040
Fax(612) 455-4041
Organization SubpartNo
Authorized OfficialGrant D Chikazawa-nelsonOwner/psychotherapist · (612) 655-9776
Enumeration DateJune 1, 2011
✔ NPI 1649564188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MN · 943
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.
6437 LYNDALE AVE S, Richfield, MN 55423
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Other Names 1

Former Legal Business NameBlue Iris Center For Therapeutic Services, Llc

Other Identifiers 6

Other227349918MN · Medica-ubh
Other550045 02MN · Bhp
Other143645MN · U-care
Other69B22CHMN · Bc/bs
Other540521MN · Value Options
Medicaid529100300MN

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 Blue Iris Therapy, PLLC's NPI number?

The NPI number for Blue Iris Therapy, PLLC is 1649564188. It was assigned to this organization in the NPPES registry on June 1, 2011. The provider was formerly known as Blue Iris Center For Therapeutic Services, LLC.

Where is Blue Iris Therapy, PLLC located?

Blue Iris Therapy, PLLC is located at 6437 Lyndale Ave S Suite 101, Richfield, MN 55423. The listed phone number is (612) 455-4040.

What is Blue Iris Therapy, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Blue Iris Therapy, PLLC was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.