LUMINOUS MIND INC
LUMINOUS MIND INC is a provider specialising in Community/Behavioral Health Agency in Roseville, MN, registered under NPI 1588015168. This provider registers 5 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1611 COUNTY ROAD B W STE 202, Roseville, MN 55113. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4892 | MN | Community/Behavioral Health Agency primary |
This provider holds licence 4892 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3678816402
- Enrollment ID
- O20190520001183
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Community/Behavioral Health covers
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. NUCC Health Care Provider Taxonomy, code 251S00000X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | 4892 | MN | primary |
| 103T00000X | Psychologist | — | — | |
| 103TA0700X | Adult Development & Aging Psychologist Adult Development & Aging | — | — | |
| 103TC0700X | Clinical Psychologist Clinical | — | — | |
| 103TH0004X | Health Psychologist Health | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1588015168 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 25, 2016 |
| Last updated | Jan 29, 2020 |
| Status | Deactivated |
| Sole proprietor | No |
| Practice address |
1611 COUNTY ROAD B W STE 202 Roseville, MN 55113 (651) 300-1112 Fax (651) 358-2996 |
| Other identifiers |
1588015168
· Medicaid (MN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 8 | 8 | 0 | 1 | 5 | 1 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 7 | 8 | 0 | 1 | 1 | 1 | 3 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.