MEDICARE: C J INTEGRATIVE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1578422358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C J INTEGRATIVE CARE LLC

Provider Business Mailing Address
First Line	:	6500 BROOKLYN BLVD
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55429-1754
Country	:	US
Telephone Number	:	651-212-5375
Fax Number	:	651-666-1779

Provider Business Practice Location Address
First Line	:	6500 BROOKLYN BLVD
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55429-1754
Country	:	US
Telephone Number	:	651-212-5375
Fax Number	:	651-666-1779

Authorized Official
Title or Position	:	OWNER/AUTHORIZED REPRESENTATIVE
Name	:	CHRIS MOKONGU
Credential	:	PMHNP-BC
Telephone Number	:	651-212-5375

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

Similar Medicare Providers

1568291284 — CENTER ONE APARTMENTS LLC
Practice Location Address:

1509 10TH AVE S
MINNEAPOLIS, MN
55404-1754

Practice Phone: 612-238-5555
Practice Fax:

1265269153 — ABDIRAHMAN ALI
Practice Location Address:

2021 E HENNEPIN AVE STE 408
MINNEAPOLIS, MN
55413-1754

Practice Phone: 651-528-1065
Practice Fax:

1225122377 — SENIOR SUPPORT SERVICES, LLC
Practice Location Address:

6500 BROOKLYN BLVD
BROOKLYN CENTER, MN
55429-1754

Practice Phone: 763-566-5063
Practice Fax: 763-315-1401

1992878136 — TRANS HOME CARE SERVICES, INC
Practice Location Address:

6500 BROOKLYN BLVD , SUITE 203
BROOKLYN CENTER, MN
55429-1754

Practice Phone: 763-561-1224
Practice Fax: 763-503-9451

1306900618 — VERRILL JAMES SCHWANTES D.C.
Practice Location Address:

6500 BROOKLYN BLVD , SUITE 101
BROOKLYN CENTER, MN
55429-1754

Practice Phone: 651-336-5862
Practice Fax:

1811131675 — GOOD FAITH INC
Practice Location Address:

6500 BROOKLYN BLVD , SUITE 200
BROOKLYN CENTER, MN
55429-1754

Practice Phone: 763-438-2936
Practice Fax: 763-503-9451

Directions to “C J INTEGRATIVE CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.