MODERN MOJO
NPI 1902344591
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grand Rapids, MN
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
Specialties & Licenses
Secondary Practice Location 1
Accepted 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)
Modern Mojo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Modern Mojo, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
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 24D2134350
Modern Mojo · Grand Rapids, MNFrequently 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.
Is Modern Mojo enrolled in Medicare?
Yes. Modern Mojo is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Modern Mojo?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Modern Mojo. 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 (5), Clinical Psychologist (1) and Clinical Social Worker (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Modern Mojo · NPI 1902344591
Mental Health (Including Community Mental Health Center) organization in Grand Rapids, Minnesota. Organization record, active in the CMS NPPES registry since February 3, 2017.
## Identity
- **NPI:** 1902344591 (Entity type: Organization)
- **Enumerated:** February 3, 2017
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Tonya Zimmerman, OFFICE MANAGER
## Practice location
- **Address:** 28 NW 4TH ST, SUITE A, Grand Rapids, MN 55744-2714
- **Phone:** (218) 999-7750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Clinical Psychologist (1), Clinical Social Worker (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902344591) · Data from the CMS NPPES public registry.