MEDICARE: MOSAIC THERAPY GROUP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106H00000X	Marriage & Family Therapist
2	2084P0804X	Child & Adolescent Psychiatry Physician
3	103T00000X	Psychologist
4	101Y00000X	Counselor
5	2083P0901X	Public Health & General Preventive Medicine Physician
6	171400000X	Health & Wellness Coach
7	171100000X	Acupuncturist
8	363L00000X	Nurse Practitioner
9	133N00000X	Nutritionist
10	363A00000X	Physician Assistant
11	2084P0800X	Psychiatry Physician
12	175F00000X	Naturopath
13	225X00000X	Occupational Therapist
14	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1679167126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSAIC THERAPY GROUP

Provider Business Mailing Address
First Line	:	4600 77TH ST W STE 370
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-4912
Country	:	US
Telephone Number	:	612-464-1400
Fax Number	:	612-315-6001

Provider Business Practice Location Address
First Line	:	4600 77TH ST W STE 370
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-4912
Country	:	US
Telephone Number	:	612-464-1400
Fax Number	:	612-315-6001

Authorized Official
Title or Position	:	OWNER
Name	:	NAOMI JOY SCHWENKE
Credential	:
Telephone Number	:	612-464-1400

Provider Enumeration Date	:	02/25/2021
Last Update Date	:	03/18/2026

Similar Medicare Providers

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Practice Location Address:

4600 77TH ST W STE 370
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55435-4912

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1962381624 — VICTORIA PETERSON-HILLEQUE LP
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1598618761 — LUKE ROSKE-METCALFE MA
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1740349729 — DR. ANN MARIE THIELE BURT DDS
Practice Location Address:

6545 FRANCE AVE S , SUITE 390
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1508325598 — DR. GRETCHEN ELIZABETH BEER DO, MBA
Practice Location Address:

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1831229699 — DR. JOSHUA ROBERT SOKOL M.D.
Practice Location Address:

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Directions to “MOSAIC THERAPY GROUP ” Practice Location

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