HENNEPIN COUNTY
NPI 1780790345
Psychiatry & Neurology - Psychiatry in Minneapolis, MN

Active since August 23, 2006CLIA 24D2019256 · Waiver
2215 E LAKE ST, MINNEAPOLIS, MN 55407(612) 596-9438(612) 329-4500 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2026, Dec 5, 2023, Oct 19, 2021 (3 updates tracked since 2021).

About Hennepin County NPPES

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

HENNEPIN COUNTY (NPI 1780790345), doing business as Hennepin County Mental Health Center, is a healthcare organization registered as a psychiatry in Minneapolis, Minnesota and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 24, 2027, maintains a secondary practice location in Minneapolis, and lists Adesola Oni, Senior Department Administrator, as its authorized official.

NPPES Registry Identity

NPI1780790345
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameHENNEPIN COUNTY
Location Address2215 E LAKE STMinneapolis, MN 55407-4385
Mailing Address2215 E Lake StMinneapolis, MN 55407-4385 · (612) 596-9438 · Fax (612) 329-4500
Fax(612) 329-4500
Organization SubpartNo
Authorized OfficialAdesola OniSenior Department Administrator · (612) 596-0631
Enumeration DateAugust 23, 2006
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1780790345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
2215 E LAKE ST, Minneapolis, MN 55407

Other Names 1

Doing Business AsHennepin County Mental Health Center

Secondary Practice Location 1

Location 11800 Chicago Ave Ste 200Minneapolis, MN 55404-2592 · Phone (612) 596-9438 · Fax (612) 329-4500

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hennepin County is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20040218001012Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

192

Medicare enrollment records show 192 clinicians reassign Medicare billing to Hennepin County, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 171 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner62
Clinical Social Worker38
Family Practice21
Clinical Psychologist15
Mental Health Counselor12
Psychiatry12
Internal Medicine6
Marriage and Family Therapist4
11 other specialties22

Nearest to this location (20)

See all 192
Nurse Practitioner
NPI 1790320372
2215 E LAKE ST # MC626
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1538329263
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1205790862
2215 E LAKE ST FL 5
Minneapolis, MN 55407
(612) 596-9438
✔ PECOSSame address
Clinical Social Worker
NPI 1386881878
2215 E LAKE ST
Minneapolis, MN 55407
(612) 879-3115
✔ PECOSSame address
Mental Health Counselor
NPI 1114463973
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124844626
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1104329234
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245939495
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1326441304
2215 E LAKE ST
Minneapolis, MN 55407
(612) 873-6963
✔ PECOSSame address
Clinical Social Worker
NPI 1003357773
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1073822276
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1457279309
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOSSame address
Clinical Social Worker
NPI 1841650058
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1447282231
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1366056392
2215 E LAKE ST FL 5
Minneapolis, MN 55407
(612) 543-2298
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1225379381
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1619531118
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1427583376
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOSSame address
Nurse Practitioner
NPI 1205480522
2215 E LAKE ST FL 5
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1528384237
2215 E LAKE ST FL 5
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts MedicareSame address
See all 192 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2019256

Hennepin County Juvenile Detention Center · Minneapolis, MN
Active · expires Jan 24, 2027
CLIA Number24D2019256
Laboratory TypePrison
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorRachel Bryant
Laboratory Phone(612) 255-0628
Laboratory LocationHennepin County Juvenile Detention Center510 Park Avenue, Minneapolis, MN 55407
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Hennepin County's NPI number?

The NPI number for Hennepin County is 1780790345. It was assigned to this organization in the NPPES registry on August 23, 2006. The provider is doing business as Hennepin County Mental Health Center.

Where is Hennepin County located?

Hennepin County is located at 2215 E Lake St, Minneapolis, MN 55407. The listed phone number is (612) 596-9438.

What is Hennepin County's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Hennepin County enrolled in Medicare?

Yes. Hennepin County is registered in the Medicare PECOS enrollment system.

When is Hennepin County's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Minnesota, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hennepin County?

According to the CMS Revalidation Reassignment List (October 2026 release), 192 clinicians in 19 Medicare specialties reassign their Medicare billing to Hennepin County. 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. The largest specialties are Nurse Practitioner (62), Clinical Social Worker (38) and Family Practice (21). Of these, 24 practice at this address and 171 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hennepin County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2019256) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hennepin County was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.