=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891110177
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OMNI MENTAL HEALTH INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/24/2014
-----------------------------------------------------
Last Update Date | 12/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 245 RUTH ST N STE 101
-----------------------------------------------------
City | SAINT PAUL
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55119-4409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 651-955-4633
-----------------------------------------------------
Fax | 651-440-9827
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 245 RUTH ST N STE 101
-----------------------------------------------------
City | SAINT PAUL
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55119-4409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 651-955-4633
-----------------------------------------------------
Fax | 651-440-9827
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JENNIFER LEE PINION
-----------------------------------------------------
Credential | MA, LMFT
-----------------------------------------------------
Telephone | 651-955-4633
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QM0855X
-----------------------------------------------------
Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 2166
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------