Ablavi Saboutey, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10045 Issued in MN

Practice address

1212 E College Dr
Marshall, MN 56258-2010

Phone

(612) 616-6227

NPI assigned

Aug 24, 2022

Last updated

May 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Innovations IncGroup PAC ID 6204178528, 96 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/wmhcinc/r4/
• Direct secure messaging: lifestancehealth.ablavisaboutey@149810.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Innovations, Inc.

  dba LifeStance Health

  • Counseling Psychologist
  • Anoka, MN
  • NPI 1992862783

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Relaunch Psychiatry Services

  • Nurse Practitioner
  • Northfield, MN
  • NPI 1578307708

  Single Specialty

  Medicare reassignment NPD Authorized official
• Western Mental Health Center, Inc.

  • Mental Health Counselor
  • Marshall, MN
  • NPI 1982613311

  Single Specialty

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MN, Single Specialty

  Medicare reassignment NPD
• Lead the Way Psychiatry LLC

  • Adult Mental Health Clinic/Center
  • Kasson, MN
  • NPI 1770383440

  Single Specialty

  NPD (past)
• West Central Counseling LLC

  • Mental Health Counselor
  • Alexandria, MN
  • NPI 1649846650

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1023737806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 148TH ST W # 240",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247800",
            "telephone_number": "612-616-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582010",
            "telephone_number": "612-616-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABOUTEY",
        "first_name": "ABLAVI",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "10045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lee Rude, R.D.
• Laura Runstrom, PHARMD
• Rural Enterprise for Acceptable Living, Inc. (Southwestern Center for Independent Living (SWCIL))
• Rural Health Care, Inc (Access Health Marshall)
• Gloria Jean Sabin, MSW, LICSW
• Sabrina Maria Ulrich (Sabrina Ulrich Counseling, LLC)
• Teslynn Marie Saltzer
• Darian Marie Sanders, RN
• Kim Marcia Sanow, LMFT
• Staci Saugstad

• Psychiatric/Mental Health Nurse Practitioner in Marshall, MN
• Providers in Marshall, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.