Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lifespan of Minnesota, Inc.

Q: What type of organization is Lifespan of Minnesota, Inc.?

Lifespan of Minnesota, Inc. is registered in NPPES as a Mental Health Clinic/Center (Including Community Mental Health Center) (its primary provider taxonomy).

Mental Health Clinic/Center (Including Community Mental Health Center) in Burnsville, MN · enumerated 2006 · authorized official Traci Hackmann, Ceo/Clinical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710097274

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Registry record

Entity type Organization (Type 2)

Legal business name Lifespan of Minnesota, Inc.

Practice address 12425 River Ridge Blvd, #200, Burnsville, MN, 55337

Phone (952) 562-8500

Fax (952) 562-8501

Enumeration date Aug 30, 2006

Last updated in NPPES Jul 21, 2022

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities · License 7076053 00 (MN) Primary

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities · License 7876190 00 (MN) Secondary

Authorized official

Name Traci Hackmann

Title Ceo/Clinical Director

Phone (952) 562-8500

Other identifiers

Identifier	Type	State	Issuer
454T4DA	Other	MN	BLUE CROSS BLUE SHIELD
102020	Other	MN	UCARE
100598	Other	MN	HEALTHPARTNERS
707605300	Medicaid	MN	-
787619000	Medicaid	MN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Lifespan of Minnesota, Inc.?

Lifespan of Minnesota, Inc. is registered in NPPES as a Mental Health Clinic/Center (Including Community Mental Health Center) (its primary provider taxonomy).

Providers at this address

Browse all →

Jill Smith Clinical Social Worker · Burnsville, MN NPI 1306013826 Emily Labukas Marriage & Family Therapist · Burnsville, MN NPI 1205208949

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.