LUMINOUS MIND INC NPI 1588015168

NPI Information

  • NPI: 1588015168
  • Provider Name: LUMINOUS MIND INC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: THE LUMINOUS MIND
  • Address: 1611 COUNTY ROAD B W STE 202
    ROSEVILLE, MN
    ZIP 55113
  • Phone: (651) 300-1112

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NPI Details

LUMINOUS MIND INC is a community behavioral health in Roseville, MN. The provider is 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. LUMINOUS MIND INC NPI is 1588015168. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Luminous Mind.

The provider's business location address is:

1611 COUNTY ROAD B W STE 202
ROSEVILLE, MN
ZIP 55113-053
Phone: (651) 300-1112
Fax: (651) 358-2996

The provider's authorized official is Layla Asamarai .
The authorized official title is Owner and has the following contact phone number (651) 300-1112.

The enumeration date for this NPI number is 6/25/2016 and was last updated on 1/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
2103TA0700XPsychologistAdult Development & AgingNo
3103TC0700XPsychologistClinicalNo
4103TH0004XPsychologistHealthNo
5251S00000XCommunity/Behavioral Health4892MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11588015168MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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