MODERN MOJO
NPI 1902344591
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grand Rapids, MN

Active since February 03, 2017CLIA 24D2134350 · Waiver
28 NW 4TH ST, SUITE A, GRAND RAPIDS, MN 55744(218) 999-7750 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2023, Feb 3, 2017 (2 updates tracked since 2017).

About Modern Mojo NPPES

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

MODERN MOJO (NPI 1902344591) is a healthcare organization registered as a mental health (including community mental health center) in Grand Rapids, Minnesota and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through July 31, 2027, maintains a secondary practice location in Willmar, and lists Tonya Marie Zimmerman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1902344591
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMODERN MOJO
Location Address28 NW 4TH ST, SUITE AGrand Rapids, MN 55744-2714
Mailing Address28 Nw 4th St, Suite AGrand Rapids, MN 55744-2714 · (218) 999-7750
Organization SubpartNo
Authorized OfficialTonya Marie ZimmermanOffice Manager · (218) 999-7750
Enumeration DateFebruary 3, 2017
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
NPI 1902344591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
28 NW 4TH ST, Grand Rapids, MN 55744

Secondary Practice Location 1

Location 11708 1st St SWillmar, MN 56201-4228 · Phone (218) 999-7750 · Fax (218) 999-9461

Accepted Insurance

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 24D2134350

Modern Mojo · Grand Rapids, MN
Active · expires Jul 31, 2027
CLIA Number24D2134350
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorTracy Ann Zimmerman-Deschepper
Laboratory Phone(218) 999-7750
Laboratory LocationModern Mojo28 NW 4th Street Suite A, Grand Rapids, MN 55744
CLIA data matches this NPI record on: Address Name Phone
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 Modern Mojo's NPI number?

The NPI number for Modern Mojo is 1902344591. It was assigned to this organization in the NPPES registry on February 3, 2017.

Where is Modern Mojo located?

Modern Mojo is located at 28 NW 4th St Suite A, Grand Rapids, MN 55744. The listed phone number is (218) 999-7750.

What is Modern Mojo's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Modern Mojo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2134350) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Modern Mojo accept?

Health plans from HealthPartners and Sanford Health Plan list Modern Mojo 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 Modern Mojo was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.