Organization · Type 2 NPI

Minnesota State Colleges and Universities

Mental Health Clinic/Center (Including Community Mental Health Center) · Mankato, MN

NPI number 1104651355 Active

Practice location

1600 Warren St Ste 6
Mankato, MN 56001-7113

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Psychologist	103T00000X	None listed
Clinical Social Worker	1041C0700X	None listed
Marriage & Family Therapist	106H00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

3 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Mankato

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NPI record

NPI: 1104651355
Entity type: Organization (Type 2)
Issued: Sep 6, 2024
Last updated: Oct 13, 2025
Status: Active
Subpart: Yes of Minnesota State Colleges and Universities

Other names

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Minnesota State University, Mankato · doing business as
Rural Behavioral Health Clinic · other name

Authorized official

Roy Kammer
Dean
(507) 389-1546

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104651355

Minnesota State Colleges and Universities's National Provider Identifier is 1104651355, issued on Sep 6, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mankato, MN. The record was last updated on Oct 13, 2025.